The high-power quantum cascade laser (QCL) frequency comb capable of room temperature operation is of great interest to high-precision measurement and low-noise molecular spectroscopy. While a significant amount of research is devoted to the longwave spectral range, shortwave 3–5 μm QCL combs are still relatively underdeveloped due to the excessive material dispersion. In this work, we propose a monolithic integrated multimode waveguide scheme for effective dispersion engineering and high-power-efficiency operation. Over watt-level output power at room temperature with a wall plug efficiency of 7% and robust dispersion reduction is achieved from a quantum cascade laser frequency comb at a wavelength approximately 4.6 μm. Narrow beatnote linewidth less than 1 kHz and clear dual-comb multiheterodyne comb lines manifest the coherent phase relation among the comb modes which is crucial to fast molecular spectroscopy. This monolithic dispersion engineered waveguide design is also compatible to an efficient active–passive optical coupling scheme and would open up a new research playground for ring comb and on-chip dual-comb spectroscopy.