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This article explores the water policy narrative in Pakistan, and identifies its historical trajectories and influences, as well as the impact of the global agenda setting of water for 2030. For this purpose, water sector reforms in Pakistan are examined as a case study. The National Water Policy (NWP) 2018 and Participatory Irrigation Management (PIM) reforms are critically evaluated and loopholes identified, in terms of both theoretical aspects and constraints in their practical implementation. The overall analysis reveals that the engineering narrative is dominant in policy circles and large-scale infrastructure construction is seen as an exceptional measure to overcome the current loss of storage potential due to sedimentation. On the other hand, the adoption of the Integrated Water Resource Management (IWRM) framework reflects the desire of state institutions to imbue water policy reform with international credibility. The IWRM framework has been adopted as isomorphic mimicry to appease international financing institutions and donors. PIM reform is thus far from delivering the desired results due to ideological battles among new (i.e., the Participatory Farmers Institution) and traditional bureaucratic irrigation institutions. As adopted, the global agenda setting of water, in the shape of IWRM, is a repackaging of existing activities, and prevents alternative thinking in the setting of water priorities according to developmental needs.