Otherwise, it may only be used as an Ace. The Joker may be used as any type of card to complete a Straight, Flush, or Straight Flush. 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. A Dealer button will be offered to all eligible Designated Player at the table.