Combine rum, pineapple juice, orange juice, cream of coconut and some ice in a cocktail shaker, close it tight, and shake vigorously for 15-20 seconds.
Add ice to a tall glass and strain the cocktail into the glass. (Or, you can keep the "dirty ice.")
Garnish with some freshly grated nutmeg, stir, and add a pineapple wedge garnish on the glass. Enjoy!
Painkiller should be smooth, balanced so make sure to measure your ingredients or one can really overwhelm the others!
Nutmeg - it's best to use a fresh whole nutmeg and grate it into the cocktail!
Pusser’s Rum – If you can’t get your hands on a bottle of Pusser’s rum, you can use another type of navy rum.
Cream of Coconut – Keep in mind that this is NOT the same thing as coconut cream and that the two are not interchangeable. Cream of coconut is sweet and intended for cocktails (and often in baking), while coconut cream is unsweetened and intended for cooking.