Pai Gow is a traditional Chinese gambling game played by two players with a deck of 32 Chinese dominoes. It is a game of strategy and luck that is becoming increasingly popular in Macau. The game is played on a table that is split into two sides, and each player is dealt four tiles. The players must then strategically arrange these tiles into two separate hands, one with three tiles and one with two tiles. The goal is to create two hands that will beat both of the dealer's hands. The four-tile hand is called the high hand and the two-tile hand is called the low hand. The high hand must be higher than the low hand.