The Guest's high hand is made up of five cards and the second high hand is made up of two cards. Guests will receive seven cards and create two hands of play simultaneously a high hand and a second high hand. Pai Gow Poker is a game played with a traditional deck of 52 playing cards plus one Joker (53 cards total) that combines elements of the ancient Chinese game of Pai Gow and the American game of Poker.