A glass of tropical smoothie garnished with a pineapple slice and straw, in front of a pineapple-shaped art piece.

Painkiller Cocktail

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The Rum Painkiller is a creamy, tropical cocktail with deep Caribbean roots, blending rum, pineapple juice, orange juice, and cream of coconut for a smooth, refreshing experience. While often compared to a Piña Colada, the Painkiller is unique due to its use of Pusser’s Rum and a dash of freshly grated nutmeg, adding a rich complexity.

A tropical drink with a pineapple slice on a straw, in a wine glass. A painted coconut and colorful background are in the scene.

The History of the Painkiller Cocktail

The Painkiller originated in the 1970s at the Soggy Dollar Bar, a famous beach bar on Jost Van Dyke in the British Virgin Islands. The bar, named for the fact that patrons had to swim ashore and paid with wet money, was run by Daphne Henderson, who first crafted the drink.

The cocktail’s fame spread, catching the attention of Charles Tobias, the founder of Pusser’s Rum Ltd. Tobias reverse-engineered the recipe, and Pusser’s Rum later trademarked the Painkiller name, requiring bars to use Pusser’s Rum when advertising the drink. Despite this, variations of the Painkiller are widely enjoyed using different rums.

The Signature Rum: Pusser’s and Alternatives

The Painkiller is traditionally made with Pusser’s Rum, a dark, full-bodied British Navy-style rum known for its rich molasses, caramel and spice notes. Pusser’s is based on the historical Royal Navy rum ration, which was issued to sailors for centuries before being discontinued in 1970.

If Pusser’s isn’t available, you can substitute with other navy-strength rums or dark rums with bold, slightly sweet, and complex flavors, such as:

  • Smith & Cross Traditional Jamaican Rum – Funky and fuIf you don’t have Pusser’s Rum on hand, there are several excellent alternatives that can capture a similar richness and depth in your Rum Painkiller cocktail. Here are some great substitutes:
  • Goslings Black Seal Rum – A dark, rich rum with notes of caramel and vanilla, often used in cocktails like the Dark ‘n Stormy.
  • Smith & Cross Traditional Jamaican Rum – Known for its bold, funky flavor, this navy-strength rum adds a strong punch to cocktails.
  • Appleton Estate Reserve Blend – A smooth, well-balanced Jamaican rum with hints of spice, vanilla, and caramel, offering a great depth of flavor.
  • Zaya Gran Reserva – A dark rum from Trinidad, aged for 12 years, providing smooth caramel and oak notes, making it a great substitute for Pusser’s.
  • Mount Gay Black Barrel – A rich, complex rum from Barbados with notes of toasted oak and vanilla that complements tropical flavors beautifully.
  • Diplomatico Reserva Exclusiva – A Venezuelan rum known for its sweet, rich flavor profile with notes of toffee and chocolate.

These rums, while slightly different in flavor profiles, will work wonderfully in your Painkiller cocktail, offering a similar depth and richness as the traditional Pusser’s Rum.

The Ingredients

Labeled ingredients on a marble surface include coconut cream, orange juice, dark rum, pineapple juice, and a nutmeg.
  • The Right Rum: Pusser’s Rum is traditionally used, but any dark or navy-style rum will work well.
  • Cream of Coconut vs. Coconut Milk: Stick to cream of coconut (such as Coco López) for the best creamy texture and sweetness.
  • Nutmeg is Key: Freshly grated nutmeg is essential for an authentic flavor—don’t skip this step!

How To Make a Painkiller Cocktail

A cocktail shaker filled with ice is surrounded by four small bowls containing various amber and clear liquids on a dark countertop.

Add ice to a cocktail shaker.

A stainless steel cup filled with a yellowish liquid placed on a speckled gray surface.

Pour all ingredients into the shaker.

A hand holds a shiny metal cocktail shaker over a dark countertop.

Shake and serve!

Recipe Tips & Variations

🍹 Go Frozen: Blend all ingredients with ice for a slushy, frozen version.

🌴 Adjust the Strength: Some recipes call for up to 4 oz of rum—adjust to your preference!

🍂 Nutmeg is Essential: Always use freshly grated nutmeg for the best flavor.

🍸 Customize the Rum: If you like a funkier or spicier kick, try blending dark rum with a splash of Jamaican or navy-strength rum.

A glass of frothy yellow smoothie with a pink straw and pineapple slice. A colorful background and folded napkin are visible.

More Rum Cocktail Recipes

Whether you’re basking in the sun or dreaming of island life, the a rum cocktail delivers a perfect tropical escape in every sip. Cheers!

Barbados Rum Punch

Saint Lucia Rum Punch

Aruba Ariba

A glass of tropical smoothie garnished with a pineapple slice and straw, in front of a pineapple-shaped art piece.

Painkiller Cocktail

A refreshing tropical cocktail made with Pusser’s Rum, pineapple juice, orange juice, and cream of coconut, topped with freshly grated nutmeg. Perfect for relaxing! 🍹
Prep Time 5 minutes
Total Time 5 minutes
Course Drinks
Cuisine Caribbean
Servings 1 serving
Calories 297 kcal

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Ingredients
 
 

  • 2 oz dark rum Pusser's if available
  • 4 oz pineapple juice
  • 1 oz orange juice
  • 1 oz coconut cream
  • Freshly grated nutmeg to serve
  • Pineapple wedge or cherry, for garnish (optional)

Instructions
 

  • Fill a cocktail shaker with ice.
  • Add the rum, pineapple juice, orange juice, and cream of coconut.
  • Shake well until the mixture is chilled and smooth.
  • Strain into a tall glass filled with crushed ice.
  • Sprinkle freshly grated nutmeg on top.
  • Garnish with a pineapple wedge or cherry if desired.
  • Serve with a straw and enjoy!

Notes

Makes 1 serving.
If you don’t have Pusser’s rum, substitute with a dark rich rum.

Nutrition

Serving: 1servingCalories: 297kcalCarbohydrates: 19gProtein: 2gFat: 10gPolyunsaturated Fat: 0.2gSodium: 4mgFiber: 1gSugar: 14gCalcium: 21mgIron: 1mg
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