Pai Gow is a popular casino game that originated in ancient China and has since become a favorite among gamers in casinos around the world. In Slovakia, it is among the most popular live casino games. Pai Gow is played with a standard 52-card deck plus a joker. The joker can be used as an ace or to complete straight or flush hands. The game is typically played by four players and the dealer. The players must arrange two hands out of the seven cards they are dealt by the dealer. The two hands consist of a five-card high hand and a two-card low hand. The objective of the game is to have both hands rank higher than the hands of the dealer.