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English medium-of-instruction (EMI) is transforming modern-day universities across the globe, creating increasingly complex linguistic and intercultural realities which lecturers, students and decision-makers must negotiate. Teaching subject matter at higher-education level through the medium of English, in countries where English is neither an official nor national language (e.g. the Netherlands, Germany), is a highly complex phenomenon fraught with challenges and benefits. English-medium programmes are capable of transforming domestic degree programmes into platforms of intercultural teaching and learning by infusing them with greater numbers of international faculty and students. Equally however, English-medium programmes pose a socio-linguistic, -cultural and -economic challenge by institutionalising English at higher-education level within a country and displacing somewhat national and minority languages. This book, the first of its kind, provides an up-to-date and empirically-informed exploration of these salient themes in Europe, based on significant empirical data gathered and analysed on the German EMI context.