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Face Up Pai gow poker has no commission, the Designated Player's hand is played face up, and is played with a standard 52 plastic card deck and a single Joker, for a total of 53 cards. The Joker may be used as any type of card to complete a Straight, Flush, or Straight Flush. In Face Up Pai Gow Poker, the dealer’s cards are dealt Face Up prior to player’s setting their hand. After all players sets their hands in the designated space face down, the dealer will then compare each player's five-card hand to the dealer's five-card hand, and each player’s two-card hand is compared to the dealer’s two-card hand to determine the winners, losers, or tie hands. The game of face up pai gow poker was created in 2016 in the United States by Johnny Phong Le.