Painkiller Cocktail Recipe

Written by: Yuri Jones

Painkiller Cocktail Recipe

Image source: The Bottle Club

Painkiller Cocktail Recipe

Prep Time
4 minutes
Servings
1
Glassware
Hurricane Glass and Highball Glass

Ingredients

  • 2 oz Pusser’s rum (60 ml)
  • 4 oz pineapple juice (120 ml)
  • 1 oz orange juice (30 ml)
  • 1 oz cream of coconut (30 ml)
  • Freshly grated nutmeg, for garnish
  • Pineapple wedge and orange slice, for optional garnish

Tools

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  • Jigger
  • Cocktail shaker
  • Hawthorne strainer
  • Hurricane glass or tiki mug

Directions

  1. Add all ingredients to a cocktail shaker filled with ice.
  2. Shake for 10–12 seconds until frothy.
  3. Strain into a hurricane glass or tiki mug filled with crushed ice.
  4. Garnish generously with grated nutmeg and a pineapple wedge or orange slice.

Mixologist's Notes

  • While Pusser’s is the “official” rum of the Painkiller, other bold navy-strength rums make fine substitutions.
  • Cream of coconut (like Coco López) works best — not coconut milk, which won’t provide the same texture or sweetness.
  • The nutmeg garnish is non-negotiable — it elevates the drink from sweet to sophisticated.

Flavor Profile

Creamy, tropical, and rich with coconut and spice.

Painkiller cocktail - Proof & Grain

About the Painkiller cocktail

The Painkiller cocktail is a Caribbean creation that dates back to the 1970s at the Soggy Dollar Bar on Jost Van Dyke in the British Virgin Islands.

Made famous with Pusser’s Navy Rum, the drink became so closely tied to the brand that “Painkiller” was even trademarked.

Creamy, fruity, and refreshing, it blends the tropical flavors of pineapple and orange with a rich dose of coconut cream — all rounded out by strong, full-bodied rum.

It’s the kind of drink that tastes like vacation in a glass.

What Makes the Painkiller Cocktail Special

Unlike many other tiki-style drinks, the Painkiller is remarkably simple to build yet deeply satisfying.

It relies on a short list of ingredients, but the combination creates layers of tropical richness balanced with citrus brightness.

The finishing touch — a grated nutmeg garnish — adds unexpected warmth and spice, transforming what could be a sweet island drink into something far more nuanced.

Spirit Swaps and Food Pairings

  • Stick with Pusser’s Navy Rum if you want the traditional flavor, but you can swap for another navy-strength rum or a high-quality dark rum.

  • Adjust the coconut cream for richness — more for a dessert-like version, less for a lighter take.

  • For pairings, try Caribbean staples like jerk chicken, grilled fish, or conch fritters. The Painkiller’s tropical sweetness also complements spicy dishes and even desserts like pineapple upside-down cake.

Why It Endures

The Painkiller has secured its place as one of the great tropical cocktails because it’s both easy to make and endlessly transportive.

One sip and you’re in the islands — no plane ticket required.