Ninety-seven percent of Sierra Leonean households prepare food over wood or charcoal, a practice that leads to adverse health and environmental consequences. In this pilot study, we introduced ethanol cookstoves to households in Bo, Sierra Leone. We assessed their potential as an alternative to biomass fuels and the only existing improved cookstove, butane gas. Ethanol cookstoves were economically competitive with butane stoves, but could not outcompete biomass fuel (wood and charcoal). The cookstoves displayed significant benefits to women in time savings and comfort, but raised concerns around alcoholism, unequal access to technologies, and other gendered constraints in the cultural context.