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    Home » Recipes » Cocktails

    Painkiller Cocktail

    Published: Mar 8, 2026 by Tammilee · This post may contain affiliate links

    If there is one cocktail that tastes like a vacation in a glass, it's the Painkiller Cocktail. Born in the British Virgin Islands and beloved at tiki bars and beach destinations around the world, this tropical classic is creamy, fruity, and super easy to drink.

    two tiki glasses with Painkiller Cocktails garnished with nutmeg sitting on a wooden board

    Painkiller Cocktail Recipe

    Contents show
    Painkiller Cocktail Recipe
    Preparation and Storage
    When to serve a Painkiller Tiki Drink
    Great Recipe Collections
    Painkiller Recipe
    Ingredients
    Instructions
    Kitchen Tools
    Nutrition

    Made with Rum, pineapple juice, orange juice, and cream of coconut, then finished with a generous dusting of fresh nutmeg, the Painkiller is the kind of cocktail that makes you close your eyes and feel the sun on your face no matter where you are.

    Whether you're hosting a backyard luau, pregaming a beach trip, or simply in need of a little liquid sunshine, this recipe is your ticket there.

    Close your eyes and picture white sand beaches and warm tropical breezes. Now open them and make a Painkiller.

    Painkiller Drink Ingredients

    This is a quick overview of the simple ingredients that you'll need to make an Painkiller Cocktail! Specific measurements and step-by-step instructions are included in the printable recipe card at the bottom of the post.

    • Dark Rum
    • Pineapple Juice
    • Orange Juice
    • Cream of Coconut
    • Nutmeg Garnish
    two tiki glasses with Painkiller Cocktails garnished with nutmeg sitting on a wooden board

    Equipment Needed

    Tiki Glass - We love serving this drink in a great tiki glass to set the tropical mood.

    Cocktail Shaker - You want to make sure you have a shaker that you can hold together and shake to get this drink ice cold. Please be careful and keep two hands on the cocktail shaker so it does not open up.

    Jigger - The perfect way to measure your cocktail and make sure the flavors are balanced.

    How to make a Painkiller Cocktail

    I've included complete instructions in the printable recipe card at the bottom of the post, but here's a quick version.

    Combine - Add Rum, pineapple juice, orange juice, and cream of coconut to a cocktail shaker filled with ice.

    Shake - Secure the lid and shake vigorously for about 15 seconds until well chilled and combined.

    Serve - Strain over fresh ice in a rocks glass or tiki mug, dust generously with freshly grated nutmeg

    Preparation and Storage

    Make Ahead - The Painkiller is a great cocktail to batch up ahead of time for a party or beach day. Simply combine the rum, pineapple juice, orange juice, and cream of coconut in a large pitcher or sealed container and refrigerate for up to 24 hours.

    When you're ready to serve, give it a good stir, pour over fresh ice, and finish each glass with a dusting of freshly grated nutmeg. Just hold off on adding the ice until you're ready to pour so your batch stays perfectly chilled without getting watered down.

    Storage - If you find yourself with leftover Painkiller mix, store it in a sealed pitcher or airtight container in the refrigerator for up to 3 days. Give it a good stir before serving as the cream of coconut can settle to the bottom. For the best flavor and freshness, always add ice and freshly grated nutmeg at the time of serving rather than storing the finished cocktail.

    two tiki glasses with Painkiller Cocktails garnished with nutmeg sitting on a wooden board

    When to serve a Painkiller Tiki Drink

    • Luau Party
    • Beach party
    • Pool Party
    • Spring break
    • Game day
    • Date night
    • Anytime you need a vacation in a glass

    Great Recipe Collections

    Blue Curaçao Cocktails - Find fun blue cocktails made with this orange liqueur.

    Margarita Recipes - The best margaritas that taste amazing!

    Cocktails with Grenadine - One of the most popular mixers for cocktails and mocktails. How to mix with it, what it tastes like, and how to use it.

    Funny Cocktail Names - From Duck Farts to Nutty Irishmen, this funny drink names collection will have you giggling and finding tons of great new cocktails to enjoy!

    Malibu Coconut Rum - Check out coconut rum flavored mixer that makes epic tropical cocktails.

    Do you love recipes? Check out our copycat recipes, dessert recipes, and our CrockPot Recipes.

    Follow Tammilee Tips on MSN, Facebook, Instagram, and Pinterest, for all of our recipe posts.

    two tiki glasses with Painkiller Cocktails garnished with nutmeg sitting on a wooden board

    Painkiller Recipe

    Shake up the ultimate tropical cocktail at home with this classic Painkiller recipe. Rum, pineapple juice, orange juice, and cream of coconut come together in one creamy, refreshing drink that tastes like a beach vacation in a glass.
    No ratings yet
    Print Rate
    Prep Time: 3 minutes minutes
    Total Time: 3 minutes minutes
    Servings: 1
    Calories: 327kcal
    Author: Tammilee Tips

    Ingredients

    • 2 ounces Rum
    • 4 ounces Pineapple Juice
    • 1 ounce Orange Juice
    • 1 ounce Cream of Coconut
    • Nutmeg Garnish

    Instructions

    • Combine Rum, Pineapple Juice, Orange Juice, Cream of Coconut in a shaker filled with ice. Shake and strain over ice in a tiki glass
    • Garnish with nutmeg

    Kitchen Tools

    • 1 Tropical Tiki Glass
    • 1 Cocktail Shaker
    • 1 Cocktail Jigger

    Nutrition

    Nutrition Facts
    Painkiller Recipe
    Amount Per Serving
    Calories 327 Calories from Fat 45
    % Daily Value*
    Fat 5g8%
    Saturated Fat 4g25%
    Polyunsaturated Fat 0.1g
    Monounsaturated Fat 0.03g
    Sodium 17mg1%
    Potassium 205mg6%
    Carbohydrates 37g12%
    Fiber 1g4%
    Sugar 33g37%
    Protein 1g2%
    Vitamin A 62IU1%
    Vitamin C 26mg32%
    Calcium 18mg2%
    Iron 0.4mg2%
    * Percent Daily Values are based on a 2000 calorie diet.
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    About Tammilee

    Lifestyle blogger who travels the world and drinks too much Chai tea. Travel blogger, award winning photographer, sunset hunter, Birkenstock girl, bird nerd
    You can find Tammilee on Pinterest, Facebook, Twitter, and Instagram

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