Hands are ranked according to conventional poker hands, which makes determining the winner intuitive for most U.S.

Today, Pai Gow Poker is played with one standard deck of playing cards combined with a single joker, and the game is one of the most popular at the online casinos. In order to make the rules easier to understand for a Western audience, the tiles were abandoned for playing cards. The original game was invented centuries ago and used tiles (they looked like dominos).

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