There are retail card decks specifically crafted for playing Old Maid, but the game can just as easily be played with a standard 52-card deck. When using a regular deck, a card is either added or removed, resulting in one unmatchable card. The most popular choices are to remove the ace or queen of hearts or to add a single joker. It is also possible to remove one card face-down from the top of the deck before hands are dealt; if this is done, players will not know which card is unmatchable. The unmatchable card becomes the "old maid," and whoever holds it at the end of the game is the loser. The dealer shuffles and deals all of the cards to the players, one card at a time. Some players may have one or two more cards than others; this is acceptable. Players look at their cards and discard any pairs they have face up. Players do not discard three of a kind. In common variants, the suit colors of a discarded pair must match: spades must match with clubs and diamonds must match with hearts. Beginning with the dealer, each player takes turns offering their hand face-down to the person on their left. That person selects a card without looking and adds it to their hand. This player then sees if the selected card makes a pair with any of their original cards. If so, the pair is discarded face up as well. The player who just took a card then offers their hand to the person on their left, and so on. The objective of the game is to continue to take cards, discarding pairs, until no more pairs can be made. The player with the card that has no match is "stuck with the old maid" and loses. When playing with more than two players, the game is somewhat unusual in that it has one distinct loser rather than one distinct winner.
Scabby Queen
Scabby Queen is Old Maid with played with a standard pack of cards from which the Queen of Clubs has been removed. The player left with the 'Scabby Queen' is the loser and receives a number of raps on the knuckles with the edge of the pack. The number of raps is decided by reshuffling the pack and getting the loser to draw a card. They get the number of raps based on the face value of the card or, if it is a Jack or King, 10 raps, if it is a Queen, 21 raps. If the loser draws a red card he or she receives soft raps; if a black card, hard raps.
The equivalent game in many European countries is Black Peter, played with special cards in which the odd one out is typically a chimney sweep or a black cat. It was also played with a standard, 32-card, pack from which a black Jack was removed. The loser often gets a smudge on his or her face with a piece of soot or piece of burnt cork. It is known in Dutch as zwartepieten or pijkezotjagen, in Polish as Piotruś, in Icelandic as Svarti Pétur, in Czech as Černý Petr, in Swedish as Svarte Petter and in Greek as "mutzuris".
Variants
In some variants, all players discard only after the dealer has had their turn to take a card.
Alternatively, play can proceed in reverse order, with players taking a new card before giving one up. In this variation, players can be stuck in "old maid purgatory," i.e. with one card and no way to get rid of it.
Jackass. A variant played in Trinidad. Remove the Jack of Diamonds; the Jack of Hearts is then the odd card. The player left holding it is the 'Jackass'.
A variant in East Asia is called baba-nuki in Japan and dodukjapki in Korea. It is played exactly as old maid, but instead of removing a queen or any other card, a joker is added, and player who is left with it loses.
A variant played in the Philippines, is called ungguy-ungguyan. The game is played as old maid except any card can be removed at the start of the game. That card is revealed at the end of the game and the person left with its "partner" loses and is called unggoy. A similar variant exists in Indonesia by the name of "Kartu Setan" which literally translates to "Ghost Card", and in Japan by the name of jiji-nuki. It is seen in some anime or games, like baba-nuki; an example of this is in When They Cry.
In Brazil, two variants of the "Old Maid" game are played: One called "Fedor", literally "Stink", played with a regular deck out of which one card has been removed; the other one, played with a specialty deck is called "Jogo do Mico", or "Capuchin Monkey Game". The cards depict animals, each one having a male and a female card representation; only the capuchin monkey is unpaired.
