Casino Mahjong uses the theme of the tile game and uses cards to play in the same model. The main skill required is a mastery of the game in order to make quick moves and get the best hand before the 14th card. A strategy of disposing off unnecessary tiles is required to win.
Macau is a Chinese autonomous region, much like Hong Kong; formally a part of China, but with ample political freedom. While Macau is often regarded as the gambling capital of Asia, online casinos are not regulated. However, as gambling is popular and legal, many international live online casinos accept players from Macau.