We report on the development and validation of a compact laser instrument using mid-IR direct absorption spectroscopy (DAS) for high-precision measurements of ethanol in breath-like air mixtures. Leveraging the intermittent continuous wave (iCW) driving for conventional narrow-band distributed feedback (DFB) quantum cascade laser (QCL) emitting around 9.3 µm and using a 25 m path length multiple-pass absorption cell at reduced pressure, a precision of 9 ppb (amount fraction, nmol mol −1) at 60 s integration time is achieved even in the presence of 5% of H 2 O and CO 2. Thus, the instrument is well suitable for metrological studies to investigate observed, but yet unquantified, discrepancies between different breath alcohol reference-generation methods. The approach can be generalized and applied for other organic molecules in a wide range of applications.