Toss the card there can be 2 winning hands high and/or low. Each player is dealt 2 cards down. The dealer offers the player to the left a card. The player can take the card or pass the card to the other play. This continues until a player takes the card. Each player that passes on a card will automatically get a card from the dealer at the end of the round.

This scenario goes until each player gets 3 cards face up. Then each player is dealt another hole card. Then the player must make their best or worst hand with the 6 cards that have been dealt. The players who choose high must beat all players who decide to go high and players who go low must beat all players who go low.

The skill is that each player can alter the other player's hand by taking or passing a card. Don't forget the object is to win, so by altering a player's hand alter their decision of going high or low. Each time a player passes the card they must pay a fee. The high and low player split the pot. A player can win the whole pot if they have the only high or low hand.