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We compared how English language learners (ELLs) and monolingual English students solved multiple-choice items administered with and without a new form of testing accommodations—vignette illustration (VI). Thirty-six native Spanish-speaking English language learners (ELLs), and 36 native-English speaking non-ELLs reported their thinking while answering the items. Results from both qualitative and quantitative analyses show that ELLs used a wider variety of actions oriented to understanding the items than non-ELLs. In contrast, non-ELLs used a wider variety of problem solving strategies than ELLs. An interaction between the characteristics of the students, the items, and the illustrations indicates a considerable heterogeneity in the ways in which students from both linguistic groups thinking about and respond to science test items.