Pyramid Poker is a two-player design that consists of 54 wooden rectangular blocks, 52 of them with the standard card deck distribution (2-A in four suits) on one side and two of them with a pharaoh on one side.

To set up the game, place all of the blocks face down and shuffle them. Each player then takes fifteen blocks. They take turns looking at one of their blocks and placing them into a two-dimensional pyramid-shaped structure, again seeing only their blocks, then they take turns removing any one block from the pyramid and placing it into one of three poker hands that they're constructing. Each poker hand is competing against the one opposite it that's being built by the opponent.

Jos pelaaja nostaa faaraon, hän nostaa kolme nurinpäin olevaa laattaa, jotka ei alunperin ollut valittu, poistaa kaksi niistä ja lisää kolmannen laatan yhteen omista pokerikäsistään.

Kun kaikki laatat ovat poistettu, se pelaaja, joka voittaa kaksi tai kolme pokerikättä voittaa pelin!