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Combine the rum, pineapple juice, coconut cream, and crushed ice in a blender.
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Blend the mixture on high speed until smooth and creamy.
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If the consistency is too thick, add a splash of pineapple juice or a little water to thin it out. You can add more ice to achieve the desired thickness if it's too thin.
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Once blended, taste the mixture and adjust the sweetness or tanginess by adding more pineapple juice or coconut cream as desired.
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Pour the PiƱa Colada into a tall glass.
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Optional: Garnish with a pineapple wedge and maraschino cherry on a toothpick or skewer.
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Insert a straw, and serve chilled.