This paper presents an instrumentation amplifier for electrocardiogram (ECG) signal recording. A DC servo loop (DSL) based on a series-switch pseudo resistor (S2PR ) is utilized to suppress the effect of the unavoidable electrode DC offset effectively. The two-step pulse generation circuit realizes two sets of pulse signals with shallow duty cycles, and the pulse signals drive the path switches and virtual switches in the S2PR, respectively. Virtual switches reduce the channel charge injection effect, and finally, a great equivalent resistance with high linearity is realized. The continuous DSL realized based on S2PR can suppress the electrode DC offset of ±180 mV. At the same time, the active area of the DSL is significantly reduced. The proposed instrumentation amplifier is realized in a standard 0.18-μm CMOS process. Simulation results show the DSL designed with a 1.8-V supply introduces a 0.16-Hz high-pass corner. The power consumption of the S2PR-DSL is 92.7 μW. The gain of the instrumentation amplifier is 39.8 dB, and the input-referred noise at the TT corner is 1.78 μVrms over a bandwidth of 0.5 Hz to 150 Hz. The input impedance of the instrumentation amplifier is 772.2 MΩ, when the input signal frequency is 50 Hz, and the total harmonic distortion (THD) of a 10-mVpp input sinusoidal signal at 9.033 Hz is −61.6 dB.