In 2011, Paulson guest starred in three episodes of the FX anthology series American Horror Story, playing medium Billie Dean Howard. Paulson returned for season two, American Horror Story: Asylum, in which she played a new character, Lana Winters, a writer who is committed to an asylum for being gay. She appeared in the third season of the series, titled American Horror Story: Coven as Cordelia Foxx, a witch who runs an academy for other young witches. She appeared in the fourth season of the show, titled American Horror Story: Freak Show, in the roles of conjoined twin sisters Bette and Dot Tattler. She returned for the fifth season, subtitled Hotel, in the role of Hypodermic Sally. She also played character Billie Dean Howard again for the last episode of the season. Paulson went on to star in the sixth iteration of the series, subtitled Roanoke. She was cast as British actress Audrey Tindall, who appeared in the My Roanoke Nightmare documentary as tortured wife and yoga instructor Shelby Miller. Paulson also reprises her role of Lana Winters in the final episode of Roanoke. In 2017 she appeared in the show, Cult, where she played restaurant owner Ally Mayfair-Richards. She will star in the series eighth installment in 2018. As of 2018 Paulson and Evan Peters are the only two actors to appear in every season of the show.