Made one this evening using 1/2 oz each of Smith & Cross, Hamilton 86, and Clement VSOP. Added a couple drops (not dashes) of Scrappy’s orange bitter and Ango. Delicious.

According to Beach Bum Berry’s book ‘Grog Log’, the recipe for the Painkiller is
120 ml unsweetened pineapple juice
30 ml orange juice
30 ml Lopez coconut cream
75 ml navy rum or dark jamaican rum
Shake juices, Lopez, and rum with plenty of crushed ice. Pour unstrained into a tall glass or Tiki mug. Dust with cinnamon and nutmeg. Garnish with a pineapple stick, cinnamon stick, and orange wheel.

Confidential to everyone: you can sub in Planteray Cut & Dry for part of the rum and drop the cream of coconut entirely. My current take on this (which I'm calling the Anodyne) is: 3/4 oz Planteray Cut & Dry, 3/4 oz Smith & Cross, 3/4 oz Lemon Hart 151, 3 oz pineapple, 1 oz orange, 1/2 oz lime, 4 drops Elemakule Tiki bitters (Bob's Bitters are hard to come by in the US); I whip shake and pour over crushed ice, then garnish

I just calculated that if you mix equal parts of 40% ABV rum with 69% ABV rum, you get exactly to 54,5% ABV. Not sure if this repliates the flavour well, but if you want to try the cocktail and you don't have the navy rum in your bar, you can try this instead

Tried with this recipe and it was really good

i. The Original Painkiller
1) 60ml orange juice
2) 30ml cream of coconut
3) 30ml pineapple juice
4) 30ml Smith & Cross
5) 30ml El Dorado

A delicious tiki-style drink - pineapple forward, but also get some great flavor notes from the rum and coconut. OJ flavors are lost (to me, at least), but it is critical to diluting the pineapple a bit, and stretching the volume. I like a simple 4/2/1/1 (pineapple/rum/OJ/coconut cream) ratio, but this one is also very good.

Excelent and very different to a piña colada. The proportions, the orange juice, and, specially, Smith and Cross, make a great difference.

I really liked this cocktail. I also really liked John's idea of an overproof floater, maybe he can call it the "Extra-strength Painkiller" :) Very simple to make and very refreshing.

Made this a couple of times before but this time took the tip below about adding an overproof rum float so added Goslings 151. It was not only fantastic but looked really good with the colour separation. We'll probably need a corpse reviver tomorrow with all the Easter partying we're doing.

I have a theory about the Painkiller.

Given the limitations of the Soggy Dollar's island location in the 1970s, I am certain this drink was developed with standard bar ingredients of the time, including canned pineapple and orange juice.

Fresh juice is too sweet and lacks thrust. You need the acidic bite of the canned juice in order to cut through the sweet coconut. The acid is the tip of the marlin spike, to use a naval metaphor.

Try it both ways, I think you'll agree.

Love this drink! Bring on the pain!

Very good rum/tiki drink. Although I am a rum drinker did find it a tad sweet. A 1/4 oz 151 float did the trick. I would definitely have this again.

Shouldn’t there be some nutmeg grated on top at the end?

Wheee-dogee this is good. Nutmeg garnish is a must. Fairly sweet and packs a punch, but can be adjusted with proportions of juice component. Broad and funky with Jamaican rum. Anytime drink.