Pai Gow poker is a very engaging casino game that is a mixture of Chinese dominoes and poker. Although it is popular both in Macau and Las Vegas, it has one major difference: the tiles. Provided you have been in both cities, you will have realized that the tiles do not appear identical. What is the reason? The answer is found in the realm of history, culture, and casino rules.
In this article, we’ll break down the key differences between Macau and Las Vegas Pai Gow Poker tiles. You’ll learn why these variations exist and how they affect gameplay at TonyBet.
The Origins of Pai Gow Poker
A Game with Chinese Roots
Pai Gow Poker was developed following the Pai Gow, an older Chinese gambling game that uses domino-like tiles instead of cards. The ancient version was played many centuries ago, even as the poker version was developed in the U.S. in the 1980s.
The traditional Pai Gow deploys a 32 tile set, separated into military and civilian suits. In adapting it to Western halls, designers substituted tiles with playing cards, which made it more familiar to Americans. Yet, in Macau (which retains a long Chinese history), it remained truer to its roots.
How It Evolved
In Las Vegas, Pai Gow Poker uses a standard 52-card deck with the inclusion of a Joker. The goal is to split your hand into twos and fives to score a win over the dealer.
In Macau, there are still places left that use tiles that are more in line with the original version, rather than cards. It keeps the standard ranking system and tile designs.
Key Differences

1. Materials and Design
- Macau: Uses bone or ivory tiles (or high-quality resin replicas) with Chinese characters and dots.
- Las Vegas: Uses standard playing cards, sometimes with a Joker for flexibility.
The Macau tiles are heavier and feel more like traditional dominoes, featuring intricate carvings, but in contrast, Las Vegas keeps it simple with plastic or paper cards.
2. Number of Pieces
- Macau: 32 tiles (like original Pai Gow).
- Las Vegas: 53 cards (52 + Joker).
This changes how hands are formed.
3. Gameplay Rules
- Macau:
- Players receive four tiles and must split them into two pairs.
- The highest pair is the “high hand,” the other is the “low hand.”
- Winning requires both hands to beat the dealer.
- Las Vegas:
- Participants get seven cards and must create a five-card and two-card hand.
- The five-card hand must be stronger than the two-card hand.
Why Do These Differences Exist?

Cultural Preferences
Chinese culture greatly affects Macau, so the tile version is popular with more locals there, as it is more authentic in feel, but in Las Vegas, though, it serves tourists who might not be conversant with Chinese dominoes.
Player Experience
This version is frequently played in high-limit rooms and by serious gamblers in Macau, as the tiles bring the touch of prestige, but in the US, it is more of a casual one on the casino floor.