Yes, AI can write clinical notes in languages other than English — but the quality depends entirely on what's happening under the hood, and many popular tools were never built or tested for it. Understanding the two separate steps involved explains why results vary so much between tools.
The two steps that both need to work
Step 1 — Transcription. The session audio needs to become accurate text. A speech-recognition model trained primarily on English audio will produce degraded, sometimes unusable, transcripts for other languages — this is the single most common failure point.
Step 2 — Note generation. Once transcribed, a language model turns the transcript into a formatted clinical note. This step is generally more forgiving across languages than transcription, since most modern language models handle multiple languages reasonably well — but a poor transcript in step 1 guarantees a poor note in step 2, regardless of step 2's quality.
Why English-first tools struggle
Tools built and trained primarily on English-language sessions optimize their transcription models for English audio characteristics. A session in Portuguese, Arabic, or Mandarin run through an English-tuned model often produces transcripts with enough errors that the resulting note is unreliable or requires heavy manual correction — sometimes taking longer to fix than writing the note by hand.
How to test a tool before relying on it
- Record a short (2-3 minute) test session in the language you actually need
- Run it through the tool's transcription
- Check the transcript for accuracy against what was actually said — not just fluency, but factual correctness
- Only then evaluate the generated note quality
Skipping step 3 is the most common mistake — a fluent-sounding but factually wrong transcript will produce a fluent-sounding but clinically wrong note.
What good multilingual support looks like
A tool built for multilingual use should transcribe non-English sessions with similar reliability to English sessions, without requiring a different subscription tier, a manual language pre-selection for every session, or a noticeably longer processing time. If any of those apply, the multilingual support is likely an afterthought rather than a core design choice.
See also: Best AI Scribe for Therapists Who See Clients in Multiple Languages.