diff --git a/crates/oxc_linter/src/rules/eslint/no_fallthrough.rs b/crates/oxc_linter/src/rules/eslint/no_fallthrough.rs
index b0d2bc256851b..9927401f14610 100644
--- a/crates/oxc_linter/src/rules/eslint/no_fallthrough.rs
+++ b/crates/oxc_linter/src/rules/eslint/no_fallthrough.rs
@@ -1,5 +1,6 @@
 use std::ops::Range;
 
+use cow_utils::CowUtils;
 use itertools::Itertools;
 use oxc_ast::{
     ast::{Statement, SwitchCase, SwitchStatement},
@@ -35,11 +36,12 @@ fn no_unused_fallthrough_diagnostic(span: Span) -> OxcDiagnostic {
     .with_label(span)
 }
 
-const DEFAULT_FALLTHROUGH_COMMENT_PATTERN: &str = r"falls?\s?through";
-
 #[derive(Debug, Clone)]
 struct Config {
-    comment_pattern: Regex,
+    /// The custom comment pattern to match against. If set to None, the rule
+    /// will use the default pattern. Otherwise, if this is Some, the rule will
+    /// use the provided pattern.
+    comment_pattern: Option<Regex>,
     allow_empty_case: bool,
     report_unused_fallthrough_comment: bool,
 }
@@ -53,9 +55,9 @@ impl NoFallthrough {
         allow_empty_case: Option<bool>,
         report_unused_fallthrough_comment: Option<bool>,
     ) -> Self {
-        let comment_pattern = comment_pattern.unwrap_or(DEFAULT_FALLTHROUGH_COMMENT_PATTERN);
         Self(Box::new(Config {
-            comment_pattern: Regex::new(format!("(?iu){comment_pattern}").as_str()).unwrap(),
+            comment_pattern: comment_pattern
+                .map(|pattern| Regex::new(format!("(?iu){pattern}").as_str()).unwrap()),
             allow_empty_case: allow_empty_case.unwrap_or(false),
             report_unused_fallthrough_comment: report_unused_fallthrough_comment.unwrap_or(false),
         }))
@@ -387,10 +389,7 @@ impl NoFallthrough {
                 .last()
                 .map(str::trim);
 
-            comment.is_some_and(|comment| {
-                (!comment.starts_with("oxlint-") && !comment.starts_with("eslint-"))
-                    && self.0.comment_pattern.is_match(comment)
-            })
+            comment.is_some_and(|comment| self.is_comment_fall_through(comment))
         };
 
         let (start, end) = possible_fallthrough_comment_span(case);
@@ -409,6 +408,23 @@ impl NoFallthrough {
             None
         }
     }
+
+    fn is_comment_fall_through(&self, comment: &str) -> bool {
+        if comment.starts_with("oxlint-") || comment.starts_with("eslint-") {
+            return false;
+        }
+        if let Some(custom_pattern) = &self.0.comment_pattern {
+            custom_pattern.is_match(comment)
+        } else {
+            // We are doing a quick check here to see if it starts with the expected "falls" comment,
+            // so that we don't need to initialize the pattern matcher if we don't need it.
+            let comment = comment.trim().cow_to_ascii_lowercase();
+            comment == "falls through"
+                || comment == "fall through"
+                || comment == "fallsthrough"
+                || comment == "fallthrough"
+        }
+    }
 }
 
 /// Get semantic information about a switch cases and its exit point.