Add vodka, coffee liqueur, amaretto, Irish cream liqueur, whipping cream, and milk to a cocktail shaker.
Fill the shaker with ice and shake vigorously for 10–12 seconds until well chilled and combined.
Fill a hurricane glass with crushed ice.
Strain the cocktail over the crushed ice.
Dust the surface lightly with cocoa powder and serve immediately.
The Screaming Orgasm is essentially a Built-On-Ice Orgasm - the addition of cream and milk softens the sweetness of the liqueurs considerably, so use full-fat whipping cream and whole milk for the richest texture and best mouthfeel.
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