Ultimate Texas Hold'em features head-to-head play against the dealer and an optional Trips bonus bet that pays odds if the player's final five-card hand contains a Three-of-a-Kind or better.

To play, players make equal bets in the Ante and Blind circles and may also make the Trips bonus bet. Once players receive their two hole cards, they can either check or bet four times their Ante. The video dealer then reveals the three card flop. If players haven't already made a Play bet, they can check or bet two times their Ante. The video dealer then reveals the turn and the river, and any players who have not already bet can fold or bet even money.

Next, the video dealer reveals her two hole cards and announces her hand. If the player's hand beats the video dealer, his Play and Ante bets win even money. If the video dealer's hand beats the player's, the players wagers lose. If the players hand ties the dealer's hand, their bets push. The Blind bet pays if the players winning hand is at least a flush, but if the player beats the video dealer with less than a flush, it pushes. The video dealer needs at least a pair to qualify. If the video dealer doesn't qualify, he returns each players Ante and all other bets receive action.