Understanding climate and monsoonal dynamics on the Tibetan Plateau is crucial, as recent hydrological changes, evidenced by rising lake levels, will be accelerated by current global warming and may alter aquatic habitats and species inventories. This study combines chironomid assemblages with sedimentological, mineralogical and geochemical data of a short sediment core (37.5 cm) from the high-altitude (> 4,733 m asl), saline (9 g L-1) and shallow (~5 m water depth) Shen Co, located in the southern part of the central Tibetan Plateau. The predominantly littoral, species-poor (10 chironomid morphotypes) chironomid assemblages are dominated by salt-tolerant taxa, that are highly sensitive to lake level fluctuations and macrophyte vegetation dynamics, making them ideally suited for tracking lake level changes over time. Results indicate a period (from ca. 1830 to 1921 CE) of drier conditions with low runoff and high evaporation rates in the Shen Co catchment, as indicated by a dominance of low-Mg calcite and dolomite and increased Ca/Fe and Sr/Rb ratios. This resulted in a decline in lake levels, an increase in salinity and the periodic occurrence of desiccation events at the sampling site. The first chironomid morphotype to appear after the dry period is Acricotopus indet. morphotype incurvatus, which indicate still low (<2 m) but rising lake levels after 1921 CE due to increasing runoff and a lower evaporation/precipitation ratio, as reflected by coarser grain size, higher quartz content and increased TN, TOC and Al/Si ratios. A replacement of A. indet. morphotype incurvatus by Procladius is observed as lake level rise continued after 1950 CE. The highest lake level is proposed for the period since 2006 CE. From 1955 to 1960 CE and from 2011 to 2018 CE, the presence of the phytophilic taxon Psectrocladius sordidellus-type supported abundant macrophyte growth. These changes are consistent with climate reconstructions from the northern and central Tibetan Plateau, indicating warmer and wetter climate conditions since the beginning of the 20th century, which have led to an increase in lake level in a number of Tibetan lakes. Our study specifically highlights 1920 and 1950 as years with enhanced precipitation. This can be attributed to the strong, with overlapping multidecadal cycles of Westerlies and monsoon systems. This study demonstrates the significance of studying small, shallow lakes, as they frequently contain aquatic communities that respond more rapidly to the changes in the lake system. In addition, this study expands our understanding of the ecology of Tibetan chironomid morphotypes, highlighting this group’s potential as paleolimnological proxies for investigating past environmental and climatic changes.