Looking for a smooth, rich, and refreshing tropical cocktail that feels like a Caribbean vacation in a glass? The Painkiller Cocktail is your answer. Made with dark rum, pineapple juice, orange juice, and cream of coconut, it’s the ultimate beach-inspired drink that originated in the British Virgin Islands—and now it’s trending in bars and homes across the USA.
Whether you’re planning a summer barbecue, need a poolside drink, or just want to unwind after a long day, this creamy cocktail hits all the right notes. Below, we’ll dive into its history, variations, nutrition, tips, and how to serve it right.
What is a Painkiller Cocktail?
Origins of the Painkiller Cocktail
The Painkiller Cocktail was originally crafted in the 1970s at the Soggy Dollar Bar on Jost Van Dyke in the British Virgin Islands. Known for its potent mix of juices, rum, and coconut cream, the drink quickly gained fame. It’s now a trademark of Pusser’s Rum, though variations abound in bars worldwide.
Why It’s Called “Painkiller”
Don’t worry—this isn’t medicine! The name “Painkiller” reflects its relaxing effect and beachy vibe. The mix of sweet, tart, and creamy flavors is so good, it feels like it kills your stress on the first sip.

Painkiller Cocktail
Ingredients
Method
- Fill a cocktail shaker with ice.
- Add dark rum, pineapple juice, orange juice, and cream of coconut to the shaker.
- Shake vigorously until the mixture is well-combined and frothy.
- Strain into a highball glass or tiki mug filled with fresh ice.
- Garnish with a pineapple wedge and maraschino cherry. Serve immediately.
Notes
Ingredients and Equipment
Ingredients (Single Serving)
- 2 oz dark rum
- 4 oz pineapple juice
- 1 oz orange juice
- 1 oz cream of coconut
- Ice cubes
Garnishes
- Pineapple wedge
- Maraschino cherry
Recommended Equipment
- Cocktail shaker
- Highball glass or tiki mug
- Strainer
- Jigger
How to Make a Painkiller Cocktail

Step-by-Step Instructions
- Fill a shaker with ice.
- Add dark rum, pineapple juice, orange juice, and cream of coconut.
- Shake vigorously until frothy and well-mixed.
- Strain into a highball glass filled with fresh ice.
- Garnish with a pineapple wedge and a maraschino cherry.
🎯 Pro Tip: Use fresh pineapple juice for a cleaner, more vibrant flavor.
:
Why Pineapple Juice Is Key in Tropical Cocktails
Pineapple juice isn’t just a fruity filler—it’s the backbone of many tropical cocktails, including the Painkiller. Rich in natural enzymes, vitamin C, and tangy-sweet complexity, it complements bold spirits like dark rum effortlessly. When shaken with cream of coconut, it adds a luscious, silky texture and layers of flavor. This fruit juice also contributes the golden color and tropical aroma that makes every sip feel like you’re sitting by the beach. If you enjoy pineapple-based drinks, don’t miss our Sunrise Pineapple Fizz Cocktail.
What Is Cream of Coconut and Why Does It Matter?
Cream of coconut is not the same as coconut cream or coconut milk. It’s a sweetened, smooth coconut product made specifically for cocktails, offering both richness and sweetness. Brands like Coco López or Real Gourmet Coconut Cream are most popular for delivering consistent results. In a Painkiller, it balances out the acidity of the orange and pineapple juice, creating a velvety, tropical flavor profile that’s impossible to beat. Without it, the drink simply wouldn’t have its iconic creamy finish.

Hosting with a Tiki Theme? Painkillers Are a Must
Planning a tropical-themed party or backyard luau? The Painkiller cocktail is a tiki bar essential that’s easy to make in big batches. Serve it in coconut-shaped cups, tiki mugs, or hollowed-out pineapples for an immersive experience. Add cocktail umbrellas, colorful straws, and a garnish station to let guests personalize their drinks. For a full island-inspired lineup, pair it with fruity favorites like our Tropical Rum Punch or Tropical Orange Cooler.
Flavor Profile and Texture
A Tropical, Creamy Experience
The Painkiller combines tangy citrus, sweet coconut, and the bold richness of dark rum. It’s thick and smooth without being heavy, making it perfect for sipping on warm afternoons or alongside tropical food.
Not Too Sweet, Not Too Strong
Despite its name, this drink isn’t overpowering. The juice and coconut soften the alcohol’s kick, creating a smooth, balanced cocktail that’s both satisfying and refreshing.
Frozen and Mocktail Variations
Frozen Painkiller Version
Want to beat the heat? Try this frozen twist.
Add to a blender:
- Same ingredients
- 1 cup of crushed ice
- Blend until slushy
Serve it in a chilled tiki glass for maximum tropical vibes.
Painkiller Mocktail (Non-Alcoholic Version)
For a family-friendly or sober version:
- 4 oz pineapple juice
- 1 oz orange juice
- 1 oz coconut cream
- Optional: a splash of club soda
- Shake and pour over crushed ice
It’s still creamy, citrusy, and incredibly relaxing—just without the rum.

What to Serve with a Painkiller Cocktail
Pair your drink with dishes that highlight the tropical elements:
Dish | Why It Works |
---|---|
Grilled shrimp skewers | The smoky flavor complements the coconut |
Jerk chicken wings | Spicy food + sweet drink = balance |
Pineapple fried rice | Echoes the pineapple in the cocktail |
Tropical fruit platter | Enhances fruity notes without overpowering |
Coconut macaroons | Dessert that matches the drink’s creamy base |
👉 Discover great ideas like the Tropical Orange Cooler for more pairing inspiration.
Popular Variations of the Painkiller
Variation | Description |
---|---|
Spiced Rum Painkiller | Swap dark rum for spiced rum like Captain Morgan |
Frozen Painkiller | Blend with crushed ice |
Pineapple Forward | Use extra pineapple juice for a fruitier profile |
Tiki Bowl | Make a larger batch and serve in a punch bowl |
Looking for inspiration? Try our Pineapple Sunset Fizz, another smooth, sunset-colored stunner.
Nutrition Facts and Tips
Nutrient | Estimated Value |
---|---|
Calories | 290–320 kcal |
Sugar | ~24g |
Alcohol | ~13–15% ABV |
🧠 Healthy Tip: Substitute light coconut milk for cream of coconut to cut calories and fat.
Check out this pineapple-packed Tropical Rum Punch if you want more vitamin C in your cocktail game.
FAQs About the Painkiller Cocktail
1. What’s the best rum for a Painkiller?
Use a quality dark rum like Pusser’s, Myers’s, or Mount Gay. Spiced rum can also add warm notes.
2. Can I make this drink ahead of time?
Yes! Mix all ingredients (except ice) and store in the fridge for up to 24 hours. Shake well before serving over ice.
3. Is cream of coconut the same as coconut milk?
No. Cream of coconut is sweeter and thicker, ideal for cocktails. Coconut milk is thinner and less sweet.
4. How strong is the Painkiller?
Moderately strong. It balances a solid alcohol content with juice and coconut cream for a smooth, mellow taste.
5. Can I add other flavors?
Absolutely! Try a splash of mango juice or a dash of bitters for added depth.
Conclusion: Time to Unwind with a Painkiller Cocktail
The Painkiller Cocktail is more than just a drink—it’s a tropical escape in every glass. Whether served frozen, over ice, or in a mocktail version, this creamy, fruity cocktail has the power to melt your stress and elevate your mood instantly.
Don’t miss our other tropical favorites like the Sunrise Pineapple Fizz or try the visually stunning Blue Sunset Breeze for your next backyard party.