Shah's fifth novel "Before She Sleeps", a feminist dystopian novel, was published by Delphinium Books in 2018. An extract from the novel was featured in the Dawn's special 70th anniversary Pakistan edition "Seventy+Seventy". The novel was praised by Margaret Atwood on Twitter as "a fascinating new angle on 'emotional work'." American newspaper "Los Angeles Times" it "charged and thrilling." Before She Sleeps was recognized as part of a new canon of feminist dystopia pioneered by Booker Prize winning author Atwood and relevant to the global fight for women's rights and empowerment worldwide, as well as an important part of the #MeToo movement. Shah's novel was also considered noteworthy because it stood out from most Western-centric feminist dystopias, describing a futuristic society in the Middle East where women are forced into polygamous marriages by an authoritarian government in a society ravaged by war and disease.