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    Home » Recipes » Beverages

    By Amy · Published: Sep 13, 2012 · Updated: Jan 19, 2021 · This post may contain affiliate links. Please read my disclosure policy 28 Comments

    Painkiller Cocktail

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    A garnished painkiller drink in a glass. Overlay text at top of image.

    One of my all-time favorite fruity rum cocktails is this rich and delicious Painkiller Cocktail!

    Two garnished painkiller cocktails in glasses on a blue surface.

    While at a boat show in Annapolis, MD a couple of years ago, I had the privilege of dining at Pusser’s Caribbean Grille.  Believe it or not, I’d never heard of these “Painkillers” until then.

    So you know I had to try one… or three!  A laughing face emoji with tears of joy.

    Since then, I have been making these drinks throughout the summer and they’re definitely a treat, to say the least.

    Overhead view of two painkiller drinks in highball glasses.

    One thing that I need to note is I learned that Pusser’s has exclusive rights to this drink… of course that’s why I prepared it with Pusser’s Rum.  I ordered this cocktail one night at a bar with friends, and a guy sitting beside me so kindly informed me of this. 

    Apparently he was somehow involved with Pusser’s, as he handed me a business card with the drink recipe on it (a coincidence to say the least!). 

    Painkiller Cocktail Ingredients

    • Dark Rum
    • Pineapple Juice
    • Orange Juice
    • Cream of Coconut
    • Ground nutmeg, for garnish
    Two Painkiller cocktails in glasses.  A bottle of rum is in the background.

    Enjoy and please drink responsibly!  An emoji of a pink cocktail with a slice of lemon and a green straw.

    More Rum Cocktails You’ll Love

    • Rum Punch
    • Frozen Piña Colada
    • Malibu Summer Rose Cocktail

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    2 painkiller drinks garnished with pineapple, orange and a maraschino cherry

    Painkiller Cocktail

    A rich and fruity tropical cocktail that’s always a crowd-pleaser!
    5 from 11 votes
    Print Pin Rate
    Course: Cocktails
    Cuisine: Caribbean
    Keyword: painkiller cocktail, painkiller drink
    Prep Time: 5 minutes
    Total Time: 5 minutes
    Servings: 1
    Author: Amy

    Ingredients

    • 2 parts Pusser's Dark Rum
    • 4 parts pineapple juice
    • 1 part orange juice
    • 1 part cream of coconut
    • Pinch of ground nutmeg
    • Orange and/or pineapple wedge and a maraschino cherry optional garnish

    Instructions

    • Pour rum, pineapple juice, orange juice and cream of coconut into a cocktail shaker with ice.  Cover, shake vigorously and strain into a glass filled with ice.
    • Sprinkle a pinch of nutmeg on top and garnish with an orange and/or pineapple wedge and a maraschino cherry.

    Notes

    Adapted from Pusser’s Rum

    If provided, nutritional info is a courtesy, is not guaranteed and should only be considered as a guideline.

    Tried this recipe?Mention @TheBlondCook or tag #theblondcook!

    Originally published September 13, 2012.  Post updated August 6, 2019 with new photographs, new text and recipe slightly revised.

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      Recipe Rating




    1. Crazy says

      December 15, 2021 at 11:10 pm

      5 stars
      I made a batch of this when eight of us went on a limo ride. Everybody loved it

      Reply
    2. Chelsea says

      July 11, 2021 at 11:55 am

      Hot tips:
      Coco Reál is a squeeze bottle option and you can refill with coco Lopez but I run it through the blender first.
      It’s also really yummy made with 1/2 Malibu 1/2 pussers and given a pussers floater
      This should really be topped with fresh grated nutmeg if at all possible.

      Reply
    3. Ford says

      August 15, 2020 at 12:15 pm

      5 stars
      Cream of coconut….I get that confused with coconut cream

      Reply
      • The Drill SGT says

        August 15, 2020 at 1:03 pm

        Coco Lopez is a big provider. I like their plastic squeeze bottle rather than the cans. I you worry about too much plastic just buy one then refill from the cans

        The squeeze bottle is handy and keeps the cream fresh

        Reply
    4. Sue Bollmeier says

      August 09, 2020 at 4:45 pm

      5 stars
      My husband is addicted to these – we like similar posters, first experienced them in St. John. Ours was on a day cruise to BVI – we didn’t make it to Soggy Dollar because our kids were with us! But delish regardless.

      Reply
    5. Linda Johnson says

      November 28, 2019 at 12:08 am

      The recipe I use has 1 oz. Pussers, and 1 oz. Of 151 proof. It will lay you out if you have too many!! Having them tomorrow night with a friend of mine. She’s never had one before, but I know she will enjoy it too!!

      Reply
      • Seth Spacek says

        March 06, 2020 at 7:00 pm

        5 stars
        First time I’ve ever experienced a Painkiller was from Cheddar’s restaurant about 15 years ago. There was and still is a limit of 2 per customer. They are delicious and will make you forget about the pain, lol. The best Painkillers I’ve ever had was at Kiepersol Vineyards in Tyler, TX. They have a winery and distillery. Their was a bartender there who came from the Virgin Islands. She made her own Spiced Rum. Talk about fantastico! I know it was the Spiced Rum because when we drank her out of it, we had the regular Rum that she used to make her Spiced Rum. I think when the 4 of us stumbled out, we had a tab of about $200. All good tho!

        Reply
        • Linda says

          December 31, 2020 at 1:07 pm

          On cheddars menu though they use Bourbon instead of rum, next time I will ask for rum….

          Reply
    6. Larry says

      July 13, 2019 at 1:27 pm

      5 stars
      Try a navy rum – I love privateers navy yard personally. Awesome cocktail!

      Reply
    7. Rick says

      April 07, 2019 at 12:36 pm

      5 stars
      Had my first one at the soggy dollar on Jost Van Dyke. Swam up with soggy dollars They claim that hey invented the drink. Only the lord knows how many I´ve had since. They are absolutely delicious. Had them at Pussers too. They are delicious with any kind of Rum but maybe not as potent depending. Try Meyers if you cant find Pussers

      Reply
      • Amy @ The Blond Cook says

        April 08, 2019 at 7:52 am

        Thanks so much for sharing your story, Rick! They ARE insanely delicious and it’s hard to drink just one! 🙂

        Reply
      • Chanda Lundstrom says

        June 22, 2020 at 2:33 pm

        5 stars
        That’s where I tried my first one too! Can’t beat the scenery too!

        Reply
    8. Michele Chambers says

      April 06, 2019 at 11:16 pm

      5 stars
      I lived on St. John & this was my go to drink. Then you could order it Painkiller 1 thru 4. That determined how strong it was. 1 #4 and you were cross eyed. I always stuck with the #1 after drinking a #4 once. Best drink ever!!

      Reply
      • Amy @ The Blond Cook says

        April 07, 2019 at 9:02 am

        I never knew about the different “levels” of Painkillers until recently, thanks for sharing Michele! I’d have to stick with the #1, too and agree that it’s sinfully delicious! 🙂

        Reply
        • George Spencer says

          April 30, 2019 at 4:33 pm

          You drink #1’s but post the recipe for #2’s?

          lightweight 🙂

          ps:#2 is the default

          Reply
    9. Rick Chapman says

      March 30, 2019 at 7:38 am

      5 stars
      Meyers rum is great too. Use the Pussers 98 proof you can. Had these for the first time at the Soggy Dollar on Jost Van Dyke, BVI who supposedly invented the recipe. Addictive , potent and delicious.

      Reply
    10. Kenneth Sypolt says

      March 28, 2019 at 3:53 pm

      This is the receipt for a #2 pain killer. the amount of rum determines the # of the drink. It used to got from a #1 to a #3
      We also used a shaker to mix the drink. The more it is mixed the better the taste. the air in the drink causes it to taste smoother
      great drink, I started drinking them in the Bahamas about 30 years ago.

      Reply
    11. Joi says

      November 10, 2017 at 6:54 pm

      I Use Appleton rum! Tastes great!

      Reply
      • Rick says

        March 30, 2019 at 6:41 am

        5 stars
        Tastes great with Meyers too! Find Pussers if you can tho. The 98 proof version. Had my first one at Soggy Dollar on Jost Van Dyke, BVI. Unfortunately I have an addictive personality.

        Reply
    12. Heidi says

      June 05, 2016 at 5:17 pm

      Where do you find the pussers rum ?
      Have not been able to find it for 18 years.

      Reply
      • Amy @ The Blond Cook says

        June 06, 2016 at 7:42 am

        Hi, Heidi! It is available locally where I live in NC. Here is the link for locating it. Hope you can find it! http://pussersrum.com/find-pussers-rum/

        Reply
    13. Mark says

      December 23, 2015 at 10:55 am

      5 stars
      I had quite a few of these at a Tiki Bar on St. John made for me by a lovely bartender from Washington state. She claimed that use of enough nutmeg and the drinks could have an hallucinogenic effect. I don’t believe it had anything to do with the nutmeg! Terrific drink, no matter which side of a hangover you’re on!
      Note: Never ask a female bartender from Washington state how she got to St. John….”on a plane stupid!”

      Reply
      • Amy @ The Blond Cook says

        December 24, 2015 at 11:42 pm

        Hahaha! I had quite a few too the first time I had them, they are deliciously dangerous and no… I don’t think it’s the nutmeg either. Merry Christmas!

        Reply
      • PsyMush says

        October 31, 2021 at 6:19 am

        Sure it has to do with nutmeg. Nutmeg is known to have hallucinogenic effect at right dose.

        Reply
    14. Debbie says

      May 16, 2015 at 4:06 pm

      Cream of coconut….I get that confused with coconut cream. Is cream of coconut the sweetened version?

      Reply
    15. Judy says

      August 09, 2013 at 2:41 pm

      I saw this drink featured in Fox News Magazine, looks sinfully good!
      http://magazine.foxnews.com/at-home/caribbean-vacation-your-taste-buds

      Reply
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