Pour the rum, pineapple juice, orange juice, and cream of coconut into a cocktail shaker filled with ice.
Strain into a chilled highball glass filled with fresh ice.
Garnish with a pineapple wedge and sprinkle the Painkiller with grated nutmeg on top.
Serve and enjoy.
Beyond Pusser's, British Royal Navy Imperial Rum is touted as the most authentic navy rum, but it's extremely expensive. You will find many other brands available that are reasonably priced and make an excellent Painkiller.
If you do not have navy rum, choose a full-bodied dark rum; Appleton Estate Dark Rum is a favorite for this drink.
You can also mix two styles of rum (some believe this may be truer to the original Painkiller). Light and dark rums are a popular combination.
Whatever you choose to pour, it's hard to make a bad Painkiller. You'll enjoy some rums more than others, and finding that perfect combination is half the fun.
Though this recipe is the most common, there are a number of variations. Some use just 2 ounces of pineapple juice and others prefer to add more rum. It's a matter of personal preference, so mix it how you like it.
Cream of coconut is a nonalcoholic drink mixer that is sweeter than coconut cream. Canned coconut cream or coconut milk can be substituted (you may want to add a sweetener such as simple syrup). Coconut milk sold in cartons will work, but it's not as thick or rich as the others.