This retrospective study examined medical data from 406 patients (mean age at presentation, 36 years) presenting with sarcoidosis to a specialist interstitial lung disease (ILD) clinic in New Zealand. Of the 69 patients with Māori or Pacific Island ethnicity, few had parenchymal lung involvement (21% Scadding stage 2, 2% stage 3), and none had extensive pulmonary fibrosis (stage 4). Computed tomographic imagery of sarcoid parenchymal lung involvement was less common amongst Māori or Pacific Island patients than among European patients. Ethnic groups did not differ as to baseline lung function or treatment requirements. Ocular and skin involvement was more commonly associated with Māori and Pacific Island ethnicity, whereas erythema nodosum occurred more frequently among Caucasian patients.