Alcohol use is a risk factor for violent victimization in general, and intimate partner violence in particular. However, there has been limited empirical attention on whether alcohol use is more often associated with IPV or non-IPV offenses. Further, few studies on the association between alcohol use and victimization have assessed for incident-specific alcohol use, or examined both victim and perpetrator alcohol use. We used data from the National Violence Against Women Survey to determine if incident-specific alcohol use is more prevalent in IPV or non-IPV physical assaults, and to determine if the association varied by gender. Results indicated that among women, perpetrator alcohol use was twice as likely in IPV incidents than in non-IPV incidents, but among men, perpetrator alcohol use was four times less likely in IPV incidents than in non-IPV incidents. Our results highlight the important role of gender in understanding the association between alcohol use and victimization risk.