The dealer will be the first to offer their cards, essentially making the person to the left of the dealer the first to play. This triplet of queens will create a mismatching pair set where two will get paired and the remaining, pairless queen will become the Old Maid. You can play with a standard deck of cards. Old Maid can be played with two to eight players, although it’s most commonly played with four players. How to Play Old Maid 1: Grab at least one friends and a deck of cards