The joker is not wild and can be used only as an Ace or as the fifth card to complete a Straight, Flush, Straight Flush or Royal Flush. The game is played with a 53 card deck, consisting of a standard 52 card deck, plus one joker. Face Up Pai Gow Poker is a variation of the standard game of Pai Gow Poker featuring head-to-head play against the dealer with two optional side wagers, Fortune Bonus and Ace-High.