Mix 2 parts lemon vodka to one part triple sec combined with one part cranberry and the juice of half a lime. Cointreau or other high-quality triple sec provides a cleaner taste than cheaper triple sec, and is generally substituted in the cosmopolitan. The cranberry mainly adds colour and should not excessively dilute the drink.

A lime wedge is always used to garnish. Traditionally a coin sized piece of orange should be "flamed" across the top of the drink. This coats the drink with a slick of citrus oil.