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Savoring The Good > Recipes > Cocktails

Painkiller Drink Recipe

A woman with long brown hair wearing a light-colored blouse smiles at the camera in a softly lit indoor setting, offering a welcoming glimpse into the post author's personality.Sarah Mock headshot 100by100.
Updated: Mar 17, 2026 to include new step-by-step photos, clarified instructions, and/or improved tips for best results.· by Sarah Mock· Leave a Comment This post contains affiliate links.
painkiller cocktail
A glass of Painkiller cocktail with ice, garnished with a cherry and pineapple, surrounded by fresh oranges, a can of Dole pineapple juice, and cocktail ingredients.
A glass of Painkiller cocktail with ice, garnished with orange, pineapple, and cherry, surrounded by ingredients like pineapple juice, coconut cream, orange, and cherries.
A glass of orange-yellow juice with ice, garnished with a cherry, orange slice, and pineapple leaf. Whole oranges and a pineapple are in the background.
painkiller cocktail

Made with Pusser's Rum, pineapple juice, orange juice, and cream of coconut, the painkiller cocktail is a creamy, fruity cocktail that offers a perfect balance of flavors-less sweet than a piña colada but just as tropical.

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glass of painkiller cocktail with garnishes.

The Painkiller is a classic tropical cocktail made with Pusser's Rum, the trademark navy-strength blend that was originally created for the British Royal Navy. This iconic Caribbean cocktail was born in the 1970s at the Soggy Dollar Bar on Jost Van Dyke Island, famed for its laid-back beach vibes and great cocktails.

I live outside of Baltimore, Maryland, and Pusser's Caribbean Grille is a local favorite for their Painkiller. You can order it as a #2, #3, or #4-that's how many ounces of rum you'd like in the drink.

Painkiller Drink Ingredients

Watch for my tips for balancing flavors, choosing the best rum, and making a pitcher for a group.

painkiller cocktail

Recipe Card?

To find the full printable recipe with specific measurements and directions CLICK HERE to go to the recipe card.

How to Make a Painkiller Drink

This painkiller drink recipe comes together in minutes, and no bartending experience is required. It's the perfect tropical rum drink for summer parties, tiki nights, or any time you need a little Caribbean vacation in a glass.

A can of pineapple juice is being poured into a metal shaker on a countertop with blurred fruit in the background.

Shake the Ingredients

  • Fill a cocktail shaker with ice. Add 2 ounces of Pusser's Rum, 4 ounces of pineapple juice, 1 ounce of orange juice, and ½ ounce of cream of coconut.
  • Shake vigorously for 15-20 seconds to chill and blend the ingredients.

Prepare the Glass

Fill a tall glass (such as a highball or Collins glass) with fresh ice cubes.

painkiller cocktail

Strain and Serve

Strain the shaken cocktail mixture over the ice in the glass.

A glass of yellow-orange juice with ice, garnished with a pineapple slice and cherry. An orange and a jar of juice in the background.

Garnish

Top with freshly grated nutmeg, and add garnishes like pineapple wedges, orange slices, and maraschino cherries for a festive touch.

Presentation Tip

Grate fresh nutmeg just before serving for the best aroma and flavor.

Did you make this recipe?

Do you have feedback that would be helpful to others? If so can help this small business owner by leaving a rating and a review in the comments section? Thank you for being part of the Savoring The Good Community. ~ Sarah

Other rum suggestions instead of Pusser's:

If Pusser's Rum isn't available, these alternatives can work well in a Painkiller cocktail:

  • Gosling's Black Seal Rum
    A rich, dark Bermuda rum with bold molasses and spice notes. Bottled at 80 proof, it's a great substitute for Pusser's.
  • Kraken Black Spiced Rum
    Known for its high proof (94 proof) and flavors of vanilla, cinnamon, and clove, Kraken adds a robust, spiced character to the cocktail.
  • Myers's Original Dark Rum
    A Jamaican rum with molasses, banana, and spice notes. Bottled at 80 proof, it offers a comparable richness to Pusser's.
  • Coruba Dark Rum
    This Jamaican dark rum has an intense molasses flavor, making it a strong match for Pusser's.
  • Sailor Jerry Spiced Navy Rum
    With a higher proof (92 proof) and spiced profile, this rum is another excellent alternative.

How to Make a Pitcher of Painkiller Drinks

Making a pitcher of Painkiller cocktails is perfect for entertaining! Here's my method, which lets each guest customize the strength of their drink:

Ingredients (Serves 4):

  • 2 cups pineapple juice
  • ¼ cup orange juice
  • ¼ cup cream of coconut
  • Pusser's Rum (or substitute)
  • Garnishes: fresh pineapple wedges, orange slices, maraschino cherries, and freshly grated nutmeg
  • Ice

Large Pitcher Tip

For larger batches, simply double or triple the ingredients. Stir the base well before serving to ensure the cream of coconut is evenly distributed.

Instructions:

  1. Prepare the Base:
    In a large pitcher, combine 2 cups of ice, pineapple juice, orange juice, and cream of coconut. Stir vigorously until the cream of coconut is fully incorporated.
  2. Serve:
    Fill pilsner glasses halfway with fresh ice. Pour the cocktail base into each glass, filling them about ¾ of the way.
  3. Customize:
    Let each guest add their desired amount of rum. I recommend starting with 2 ounces, but they can adjust to their preference (1 ounce for a lighter drink or 3 ounces for a stronger one).
  4. Garnish:
    Top each glass with freshly grated nutmeg and garnishes like pineapple wedges, orange slices, and maraschino cherries.
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Tips for the Perfect Painkiller

  • Use fresh pineapple juice for a brighter flavor.
  • Shake the cocktail vigorously to fully incorporate the cream of coconut.
  • Grate fresh nutmeg for a warm, aromatic finish.

Common Questions About Painkiller Cocktails

Can I use coconut cream instead of cream of coconut?

No, coconut cream and cream of coconut are not interchangeable. Coconut cream is unsweetened and pure, while cream of coconut is sweetened and syrupy, making it essential for the Painkiller's flavor.

What is the best rum for Painkiller cocktails?

If Pusser's Rum isn't available, try Gosling's Black Seal Rum, Kraken Black Spiced Rum, or Myers's Original Dark Rum for a similar flavor profile.

How do I make a non-alcoholic version?

Replace the rum with pineapple or orange juice for a refreshing mocktail version.

What is a painkiller drink made of?

A painkiller drink is made with Pusser's Rum, pineapple juice, orange juice, and cream of coconut, topped with freshly grated nutmeg. It's a classic Caribbean cocktail that originated at the Soggy Dollar Bar on Jost Van Dyke Island in the British Virgin Islands.

What's the difference between a painkiller drink and a piña colada?

Both are tropical rum drinks made with coconut and pineapple, but the painkiller drink also includes orange juice and uses dark navy rum like Pusser's instead of white rum. The result is a bolder, less sweet cocktail with more depth of flavor.

Painkiller Drink
Sarah Mock, savoring a glass of red wine, smiles warmly indoors near a staircase. With her long brown hair and light blouse, she exudes relaxed elegance in this candid headshot.Sarah Mock
5 from 1 vote
Learn how to make the classic Painkiller cocktail recipe at home with rum, cream of coconut, pineapple juice, and orange juice. Enjoy a taste of the tropics with this tropical cocktail.
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glass of painkiller cocktail with garnishes.
Prep TimePrep:3 minutes mins
Total TimeTotal:3 minutes mins
servingsServings:1 cocktail

Ingredients

  • 2 Ounces Pusser's Rum
  • 4 Ounces pineapple juice
  • 1 Ounce orange juice fresh squeezed is best
  • ½ Ounce cream of coconut
  • Ice

Garnishes

  • Fresh orange slices,pineapple wedges, and maraschino cherries for garnish pineapple wedges, and maraschino cherries for garnish
  • nutmeg freshly grated

Instructions 

  1. Fill a cocktail shaker with ice and add rum, pineapple juice, orange juice, and. cream of coconut. Shake vigorously to chill and blend ingredients.
    2 Ounces Pusser's Rum, 4 Ounces pineapple juice, 1 Ounce orange juice, Ice, ½ Ounce cream of coconut
    Pouring liquids into a metal cup: on the left, lime juice from a can, and on the right, cream of coconut from a bottle.
  2. Fill a tall glass with fresh ice cubes. Strain the shaken cocktail mixture over the fresh ice in the glass.
    painkiller cocktail
  3. Garnish with freshly grated nutmeg on top along with fresh pineapple wedges, orange slices, and maraschino cherries.
    Fresh orange slices,pineapple wedges, and maraschino cherries for garnish, nutmeg
    painkiller cocktail

Nutrition

Serving: 1cocktail | Calories: 134kcal | Carbohydrates: 27g | Protein: 1g | Fat: 3g | Saturated Fat: 2g | Polyunsaturated Fat: 0.1g | Monounsaturated Fat: 0.03g | Sodium: 10mg | Potassium: 204mg | Fiber: 1g | Sugar: 23g | Vitamin A: 62IU | Vitamin C: 26mg | Calcium: 18mg | Iron: 0.4mg

Notes

 
CourseCourse: Cocktails
CuisineCuisine: Mediterranean
KeywordKeyword: painkiller cocktail

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I am Sarah Mock. Welcome!

Sarah Mock is a classically trained Chef and a graduate of Johnson & Wales University. A culinary blogger for 17 years, Sarah helps the home cook prepare her recipes with professional results.

Get to know me

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Sarah Mock of savoringthegood.com headshot 2022

I'm Sarah Mock, Welcome!

Sarah Mock is a classically trained Chef and graduate of Johnson & Wales University. A culinary blogger for 17 years Sarah helps the home cook prepare her recipes with professional results.

Get to know me

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