In recent years, this game has become very high popular in casinos that have Poker rooms. It is considered to require more skill than any other version of Poker.
For this version of High Low Poker, each player receives two cards face down, and five cards are dealt face down to the center of the table. After the first betting interval, three of the five center cards are turned face up in the center. Then there is a second betting interval, followed by one more center card being turned up. Then there is a third betting interval, and the last center card is turned up. Then there is a final betting round. The player must use his best five cards, taken from the two in his hand and the five turned up in the center of the table.