The development of professionally oriented foreign language communicative competence has become a crucial objective of higher education in multilingual regions. However, the multilingual educational environment of Karakalpakstan reveals a number of pedagogical contradictions that significantly affect the effectiveness of professionally oriented foreign language instruction. This article analyzes the conceptual, methodological, and organizational contradictions arising between the requirements of professional training and the existing practices of foreign language teaching in non-linguistic higher education institutions. Particular attention is paid to the influence of multilingualism on communicative competence formation, including issues of language interference, transfer, and professional contextualization. The study substantiates the need for a systematic pedagogical approach aimed at resolving these contradictions and enhancing the effectiveness of professionally oriented foreign language education.