There is a duality between locally strongly finitely presentable (LSFP) categories and (Cauchy complete) cartesian categories, i.e. multisorted algebraic theories [1]. The internal logic of cartesian categories is well known to be first-order equational logic. What is the internal logic of locally strongly finitely presentable categories? It should at least subsume "exact logic" (i.e. have finite conjunction, existential quantification, and quotients of equivalence relations), since the category of models for any multisorted algebraic theory is exact. However, it may not be describable as fragment of first-order logic, because although there exist arbitrary disjunctions, conjunction does not distributive over disjunction.
Edited in 2024. The original motivation for this question was to better understand the relationship between syntax and semantics. Cartesian categories have a well understood internal logic, but form a duality with a class of categories with (seemingly) much more structure. In theory, these should be described by a different internal language, and the duality between the two classes of categories (cartesian and LSFP) should then express some kind of equi-expressibility result between the respective logics, which could lend syntactic insight into the relationship between the two fragments of logic.
[1] On the duality between varieties and algebraic theories, J. Adámek, F.W. Lawvere & J. Rosický.