Then, deal all the cards face down until you have handed out all the cards. To deal the cards, as always, shuffle the cards first. Of course, if you have a deck specifically made for Old Maid, you don’t need to do this and can skip straight to dealing the cards. Alternatively, you can add a joker to the deck and use the joker card as the Old Maid card. Since the Old Maid card is the card that doesn’t have a pair, the final queen that remains in the deck is the Old Maid. Remove all but one queen from the deck if you’re using a standard deck of cards. And due to its simplicity, you can just as easily tweak the rules to keep the game exciting and fresh! SETUP FOR OLD MAID You don’t need a big group to play this game just get one friend or family member to play with you, and let’s get going! Old Maid is a relatively simple card game you can easily pick up. Regardless of what type of cards you use, don’t worry! The rules for Old Maid remain the same. Old Maid is a children’s card game popular in the United States and around the world, and it’s easy to see why it’s considered a classic! The perfect family game, Old Maid is generally played with colorful decks to enhance playability for young children, but you can easily play with your average playing cards.