During a round of Pai Gow Poker, each player and the dealer is dealt seven cards that must be arranged into two poker hands: a five-card hand and two-card hand. Dig into the concepts of skill and chance and how they affect the outcome of the game. It is played in major casinos in China (including Macau); the United States. Pai gow poker is a version of pai gow that is played with playing cards, instead of traditional pai gow's Chinese dominoes. However, instead of playing against the other players at the table, everyone is. . pai gow online. Pai gow is a Chinese gambling game, played with a set of 32 Chinese dominoes. Fortune pai gow poker is a game of chance but also skill. The object of Pai Gow Poker is for each Player to arrange their cards into two hands in such a way that they both rank higher than the Banker's two hands. Pai Gow Poker is a variation of poker that uses the traditional 5-card hand. You deal with a hand of seven cards and must make two hands (one of. The. Fortune Pai Gow Poker uses a standard deck of 52 cards, with the addition of a single joker. If a player cannot make a pair or better with their cards—for example, if you were dealt Q–this is called a pai gow, or non-hand. The game of pai gow poker was.