6 steps, about 4 minutes start to finish.
Fill a cocktail shaker with ice.
Add the rum, pineapple juice, orange juice, and cream of coconut to the shaker.
Shake vigorously for 15-20 seconds to mix the ingredients and chill the cocktail.
Fill a highball or hurricane glass with fresh ice.
Strain the cocktail into the prepared glass.
Garnish with a generous sprinkle of freshly grated nutmeg and, if desired, a pineapple wedge or orange slice.
“Grate the nutmeg fresh over the top instead of shaking it from a jar. That hit of aroma as you sip is the signature of a Painkiller, and it's worth the thirty seconds.”