This study aimed to reveal faculty attitudes towards teaching medicine in Arabic at two Saudi universities. It surveyed 128 faculty members and interviewed 26 using questionnaires, surveys, and observations. The study found different cognitive, emotional, and behavioral attitudes towards using Arabic in medical education, though attitudes towards the status of Arabic were generally positive. Pragmatic motives were the main drivers of negative views on using Arabic. The study also showed that socialization and pairing influenced trends, and that using Arabic is indispensable given the linguistic realities of the universities.