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This article provides an extensive review of previous research on English-medium instruction (EMI) in South Korean higher education. It then goes on to discuss the findings of a 2017 survey at four elite universities in South Korea, which were Seoul National University, Korea University, Yonsei University, and Korea Advanced Institute of Science and Technology (KAIST). While some of the results could be regarded as predictable, there were a number of findings which extended previous research. Despite the extensive complaint tradition about English in South Korea, many of the students in our sample rated their proficiency rather highly. Notwithstanding the extensive critiques of EMI in much of the previous literature, students typically displayed pragmatic and sometimes positive attitudes to dealing with EMI in their institutions.