Research has shown the potential negative impact of social media usage on body image. Various platforms present numerous medial formats of possibly harmful content related to eating disorders. Different cultural backgrounds, represented, for example, by different languages, are participating in the discussion online. Therefore, this research aims to investigate eating disorder specific content in a multilingual and multimedia environment. We want to contribute to establishing a common ground for further automated approaches. Our first objective is to combine the two media formats, text and image, by classifying the posts from one social media platform (Reddit) and continuing the categorization in the second (Tumblr). Our second objective is the analysis of multilingualism. We worked qualitatively in an iterative valid categorization process, followed by a comparison of the portrayal of eating disorders on both platforms. Our final data sets contained 960 Reddit and 2 081 Tumblr posts. Our analysis revealed that Reddit users predominantly exchange content regarding disease and eating behaviour, while on Tumblr, the focus is on the portrayal of oneself and one’s body.