Pai Gow Poker is played with a traditional deck of 52 playing cards, plus a joker (total of 53 cards). The object of the game is for both of the player's two-card hand and five-card hand to rank higher than both of the Designated Player's two hands. Should one hand rank exactly the same as the Designated Player's hand, this is a tie and the Designated Player wins all tie hands.

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This game has a progressive jackpot which can be won by placing the optional $1 jackpot wager prior to the deal.