Conflict-affected populations experience harms beyond those to life and limb, yet narratives about the effects of attacks remain dominated by war’s physical impacts. This article highlights the incidental mental harms of war, which are not necessarily the objective of an attack but which can nevertheless be devastating to those affected. It proposes a critical analysis of international humanitarian law’s principle of proportionality in attack through a decolonial lens. Among the rules regulating the conduct of hostilities, proportionality has attracted attention for its protective potential against incidental mental harm, but its interpretation remains the subject of fierce debate. This article argues that mental harm should be considered in jus in bello proportionality assessments, but not in a manner that undermines the decolonizing global mental health agenda. A decolonial lens reveals that some legal interpretations encourage the consideration of incidental mental harm in decisions of attack, but only for a fraction of the mental harms experienced in conflict (such as post-traumatic stress disorder or a traumatic brain injury), thus omitting much of the lived reality of mental harm. These interpretations might succeed in deconstructing the hierarchy between physical and mental harms, only to replace it with one between types of mental harms – a hierarchy that privileges and prioritizes Western understandings of mental health. Rather, this article posits, the application of proportionality should centre localized and socio-culturally appropriate notions and experiences of mental harm.