Pairs is the name of the game, and pairs of cards are what players want to avoid. The game uses a 55-card deck that contains one 1, two 2s, three 3s, and so on up to ten 10s. At the start of the game, shuffle the deck, then remove five cards from play unseen. Deal one card face-up to each player. Whoever has the lowest card is the first active player. She decides whether to "hit" - that is, be dealt another card - or forfeit the round. If she hits and is dealt a card that doesn't match a card she already has in front of her, then the next player clockwise becomes the active player; if the card does match, then the round ends, she keeps one of these matching cards as penalty points, then everyone else discards their cards and a new round begins with each player being dealt a card.