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Spiced Rum Painkiller Recipe: A Tropical Cocktail Guide

Spiced Rum Painkiller Recipe: A Tropical Cocktail Guide

Have you ever tried a Spiced Rum Painkiller? It’s like sunshine in a glass mixed with that cozy warmth only spiced rum can bring. Picture this: you’re lounging on a Caribbean cruise, the ocean breeze gently playing with your hair, and in your hand is this cocktail – a perfect blend of pineapple and orange juices with a sweet whisper of coconut. 

And the garnish? Oh, it’s not just decoration. 

That slice of pineapple, the cherry on top, and the dusting of nutmeg – they’re the finishing touches that transform every sip into a mini holiday. You know, those little details make all the difference, turning a simple drink into an experience.

A close-up photo of a glass filled with a spiced rum painkiller cocktail.

Essential Ingredients

When you’re ready to whip up a Spiced Rum Painkiller, have the following on hand:

  • Pineapple Juice: This is your cocktail’s sweet and tropical backbone. Grab your can or carton, but ensure it’s bursting with that fresh pineapple flavor.
  • Cream of Coconut: Velvety smooth, this brings a luscious creaminess to your drink. Look for brands like Coco López for that authentic taste.
  • Orange Juice: A splash of OJ brightens up the mix. Choose pulp-free to keep your Painkiller silky.
  • Spiced Rum: This is where the unique flavor comes from. Spiced Rum is sweeter than dark rum. It is rich in flavor with molasses, vanilla, and cinnamon spices. 
  • Nutmeg: No question freshly grated would be unique, but if that isn’t easy, keep it simple and use what you have in the spice rack.

Don’t Confuse cream of coconut and coconut cream

Are you mixing up cream of coconut and coconut cream? They sound similar, but for your cocktail, the distinction is crucial.

Cream of coconut is sweetened, making it the life of the party in cocktails. Its thicker consistency and rich, sweet flavor profile impart the iconic tropical sweetness to your Painkiller.

Imagine a mellow, sweet wave complementing the spiced rum’s kick – that’s what cream of coconut brings to the table.

On the other hand, coconut cream is the unsweetened, less processed cousin. It’s got a more subtle coconut flavor and lacks the sugary punch.

It’s perfect for culinary dishes where you control the sweetness but in a cocktail? Not so much.

Cream of CoconutCoconut Cream
Use inCocktails, Sweet MixesCulinary Dishes
ConsistencyThicker and RichLighter and More Fluid

Remember: your Spiced Rum Painkiller needs that smooth, sweet touch. So grab the cream of coconut and let the mix be music to your palate.

Avoid the coconut cream for this tropical mix—save it for your next culinary exploration.

Serving and Presentation Tips for the Spiced Rum Painkiller Cocktail:

While presentation doesn’t technically impact the taste of a cocktail, I feel that it for sure enhances the experience of drinking a cocktail. Here are a few short tips that I think matter.


  • Use a tall, clear glass, such as a highball or hurricane glass, to enhance the visual appeal. (I actually bought these plastic ones for when outside so that they don’t break so easily. )
  • The clear glass showcases the rich, golden hue of the cocktail, and the abundance of ice keeps it refreshingly cold.


  • Garnish with a generous wedge of fresh pineapple on the rim for a tropical look. (This could be canned pineapple because cutting an entire pineapple is a lot of work.)
  • Add a maraschino cherry for a pop of color and sweetness. 
  • Sprinkle ground nutmeg on top to add aroma and complement the spiced rum flavor. (This is the surprise that I add to this cocktail.)


  • Fill the glass with large ice cubes for slower melting and less dilution.
  • Alternatively, use crushed ice for a more chilled, frothy texture.

Note: Keep in mind that crushed ice melts quickly compared to cubes.

Straws and Stirrers:

  • Provide a colorful straw or an elegant stirrer for easy sipping. (These are reusable and so much fun. )
  • Choose a stirrer that complements the overall tropical theme of the cocktail.
A close-up photo of a glass filled with a spiced rum painkiller.

The bottom line

This is an easy-to-create cocktail that is sweet and tropical. The key is to make sure that you have the proper ingredients on hand. My final tip is to shake it with ice cubes to chill and mix because crushed ice melts quickly and will water down the cocktail. 

Enjoy your custom Spiced Rum Painkiller cocktail!

Spiced Rum Painkiller Cocktail

Spiced Rum Painkiller Cocktail

Yield: 1 serving
Prep Time: 5 minutes
Total Time: 5 minutes

Experience a taste of the tropics with this Spiced Rum Painkiller cocktail. A perfect blend of spiced rum, pineapple juice, orange juice, and cream of coconut, this drink offers a delightful balance of flavors that will transport you straight to a beach paradise. Topped with a sprinkle of nutmeg and garnished with pineapple and cherry, it's the ultimate tropical indulgence.


  • 2 oz Spiced Rum
  • 4 oz Pineapple Juice
  • 1 oz Orange Juice
  • 1 oz Cream of Coconut
  • Grated Nutmeg (for garnish)
  • Pineapple Wedge (for garnish)
  • Maraschino Cherry (for garnish)


  1. Fill a shaker with ice cubes about halfway full.
  2. Pour the spiced rum, pineapple juice, orange juice, and cream of coconut into the shaker.
  3. Shake well until the mixture is well chilled.
  4. Strain the mixture into a large glass filled with ice.
  5. Grate fresh nutmeg on top of the drink for garnish.
  6. Garnish with a wedge of pineapple and a maraschino cherry.
  7. Serve and enjoy!


  • You can adjust the amount of cream of coconut and juices to suit your taste. If you prefer a sweeter drink, add a bit more cream of coconut.
  • For a more robust nutmeg flavor, you can also add a pinch of ground nutmeg to the shaker before shaking.
  • If you like a frothier drink, shake the ingredients vigorously for longer.

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