Previous work has demonstrated that people are more willing to sacrifice one person to save five in a foreign language (FL) than in their native tongue. This may be due to the FL either reducing concerns about sacrificial harm (deontological inclinations) or increasing concerns about overall outcomes (utilitarian inclinations). Moreover, proficiency in a foreign language (FL) may moderate results. To test these possibilities, we investigated the moral foreign language effect (MFLE) in a novel sample of Russian L1/English FL speakers. We employed process dissociation (PD)—a technique that independently assesses concerns about rejecting harm and maximizing outcomes in sacrificial dilemmas, and we assessed measures of objective and subjective foreign language proficiency and of dilemma comprehension. Results replicated the pattern of increased acceptance of sacrificial harm in FL demonstrated in earlier studies, but a PD analysis showed no evidence of increased concerns for utilitarian outcomes in a FL; instead, this pattern was driven by reduced concerns regarding sacrificial harm. However, people who reported better dilemma comprehension in the FL demonstrated both stronger deontological and utilitarian responding, and people with higher objective proficiency displayed stronger utilitarian responding in the FL than those with lower proficiency. These findings show that utilitarian inclinations are affected by reading dilemmas in a foreign language mainly in low-proficiency speakers, and that while emotional concerns for sacrifice are reduced in FL, better comprehension can increase such concerns as well as concern for outcomes.