Painkiller Cocktail

I was back on vacation drinking Painkillers in St. John! A Painkiller cocktail is a super strong, rum cocktail that will take away the pain!

If you love tropical drinks, check out our fun Mai Tai Cocktail that’s a fun to look at as it is to drink! Also these Island Champagne Cocktails are perfect for happy hour or brunch!

trunk bay

My family and I took a trip this past November to St. Thomas to stay at the Marriott Frenchman’s Reef which is set on a huge cliff overlooking the ocean. We’re lucky enough to have good friends that have a timeshare so we all stayed together in a large suite.

From our room we could watch all of the cruise ships come into the bay in the morning to drop people off to swim and shop. Drinking rum punch at 8 am for breakfast…that’s what was going on. I love vacation.

The pool at the hotel was unbelievable. It was perfect because the beach was literally right next to the pool so if the kids wanted to go back and forth you could still see them without having to move too much.

Which is good because I don’t move a whole lot on vacation, because at home I’m moving all the time. Give me a beer and a beautiful beach and I’m good. No need to move at all.

But on our second day we did move – we took a day trip over to St. John and everything changed. I have never seen a beach so amazing in my whole life. It was literally just as you would see on a postcard or in a Corona commercial.

6 hours on this beach was not even close to being enough time for me. Then once we started Drinking Painkillers in St. John…my whole vacation world changed.

The exact place we drank these Painkiller cocktails at for the first time was the Soggy Dollar Bar on Jost Van Dyke, which is actually the British Virgin Islands where we took a day trip to.

trunk-bay-beach postcard

What Is A Painkiller Cocktail?

A Painkiller (the drink not the pills) is a drink recipe made with rum, pineapple juice, orange juice and cream. This cocktail is typically made with Pusser’s Rum and is typically found in the islands or anywhere tropical.

We like to bring the tropics right into our backyard and make a whole pitcher of these Painkillers for parties or BBQ’s. Even just one or two for happy hour at home works for me!

painkiller cocktail on sand

Ingredients For A Painkiller Cocktail

Like we said before, the ingredient list is pretty simple!

Dark Rum: Any dark rum you like will do, Pusser’s Rum is traditional.

Orange Juice: Just a splash of orange juice to add color and flavor to these drinks.

Pineapple Juice: Another splash of color but pineapple juice is often found in tropical flavored drinks.

Cream: Some recipes call for cream of coconut, but we keep it simple with just heavy cream.

Nutmeg: Fresh grated nutmeg adds a sweet, warm spice to this cocktail recipe.


How To Make a Painkiller Cocktail

The short answer is it’s pretty easy. Just gather up your favorite rum, pineapple juice, orange juice, cream of coconut and fresh nutmeg.

I’m going to go out and say that the nutmeg has to be fresh. Don’t go yucking up this Painkiller with nutmeg from a can. When I was Drinking Painkillers in St. John you could smell the fresh nutmeg at every bar you even got your order in!

Looking For More Rum Drink Recipes?


Painkiller Cocktail

  • Author: Dan
  • Prep Time: 5 minutes
  • Cook Time: 0 minutes
  • Total Time: 5 minutes
  • Yield: 1 1x

A super tasty, easy recipe for a Painkiller cocktail that you can make at home! This drink takes me right back to my vacation on St. John.



  • 2 oz. dark rum
  • 1 oz. orange juice
  • 4 oz. pineapple juice
  • 1 oz. cream of coconut
  • fresh grated nutmeg


  1. Combine all ingredients except the nutmeg in a cocktail shaker.
  2. Shake well and strain into a glass with ice.
  3. Top with fresh grated nutmeg.

Recipe Notes

  • This recipe can also be multiplied and made ahead in a pitcher.


  • Serving Size: 1
  • Category: Cocktails
  • Method: Shaken
  • Cuisine: American

You Might Also Like:

4 Responses
  1. Tammy Renea

    Oh this has me longing for summer!!! I’m with you … give me a drink and a beach and there is no need to move. :) These drinks are a must on the first day it hits 70 degrees this year!

Leave a Reply

Recipe rating 5 Stars 4 Stars 3 Stars 2 Stars 1 Star

Cocktails and Drinks

Side “Bar”

Try some of the cocktails and drinks we’re mixing up this week!