Pai gow poker, or double-hand poker, is an Americanized version of Pai Gow, in that Pai Gow Poker is played with playing cards using poker hand rankings while Pai Gow is played with Chinese dominoes.

The game is played with a standard 52-card deck, plus a single joker. It is played on a table set for six players plus the dealer.

Each player is playing against the banker, who may be the casino dealer or one of the other players at the table.