The Screaming Orgasm is a drink built for the ordering, not the connoisseurship — and it knows it. Underneath the name is a straightforward 1980s cream cocktail: the Orgasm (amaretto, coffee liqueur, Irish cream) with a shot of vodka added, which by the era's naming conventions is what made it "screaming." Shaken with cream over ice it drinks like a boozy milkshake with almond and mocha in the mix — a dessert wearing a leather jacket.
The vodka is what makes it scream; the cream is what makes it forgivable.
History
No creator, venue, or date is documented — the Screaming Orgasm surfaced from the same 1980s American bar scene that produced a whole menu of suggestively named shooters, and its family logic is modular: the base Orgasm shooter, plus vodka for the "screaming," plus cream when served long. Recipes vary widely between sources, some serving it as a layered shot, others — including Difford's Guide, which runs it hurricane-sized over crushed ice — as a full cream cocktail. The version below is the rocks-glass middle path.
The Spec
Vodka out front, the three liqueurs in balance behind it, fresh cream to bind. Everything shaken hard and strained over ice; a dusting of cocoa if you're feeling fancy.
Keep the Liqueurs Honest
Amaretto brings marzipan, the coffee liqueur brings mocha depth, and Irish cream rounds them together — equal half-ounces, no favorites. Tip any one of them up and the drink slides from milkshake to syrup.
Shake It Like You Mean It
Cream drinks need aeration to feel light instead of heavy: a hard fifteen-second shake, then a strain over fresh ice. Skip the shake and the drink sits on the palate like melted ice cream — which is a compliment nowhere.
Bottom Line
The Screaming Orgasm is a party drink with a punchline name and a genuinely pleasant dessert profile — order it once for the story, make it at home because it's easy and works. Serve it very cold and nobody files a complaint.