Video Poker got its name from the fact that a single player plays solo against a Video Poker machine, which visually displays this player's cards on its visual poker screen.

A player wagers a stake and 5 cards are dealt to him from a standard card deck, visualized on the Video Poker machine. The player has a single chance to discard any number of his received and unwanted cards, and is then subsequently dealt an equal replacement number of cards from the remaining deck. If the player then has a poker hand that is reasonably good, the dealer will pay the player based on a pre-determined fixed set of odds, based on his hand. A sufficiently good hand usually implies at least a pair of Jacks or better. If a player's final hand does not officially meet the quality imposed by the fixed set of odds, the dealer assumes the entire wager.

The precise odds offered by the casino, and the minimum winning hands will vary from casino to casino, and game to game. A game's criteria for winning can obviously affect a player's chances of winning and making a profit. In some games, designated cards can be deemed "wild". In even other types of games, there may be a cumulative running jackpot which can only be claimed by a high hand such as a straight flush or even higher.

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