Recently, many western institutions have established international branch campuses (IBCs) in many parts of the MENA region. However, to be successful, IBCs must adapt to the needs of the context in which they operate. This chapter investigates challenges and adaptations in integrating academic writing across the curriculum at a branch campus of an American university in Qatar. Interviews with 65 faculty across disciplines highlight faculty perceptions of students’ challenges with writing, and adaptations faculty make in response. Based on their findings, the authors make recommendations for adapting writing instruction for English-medium universities in the Middle East, especially at IBCs.