From the first Poker machine to present day, lots of Video Poker variations have been made. There are many types of Video Poker games. The earliest Video Poker game was based on Draw Poker, and featured a lowest possible hand of two pairs. The next step of changing the lowest hand to a pair of Jacks or Better helped increase the popularity of the game as more players managed to win hands. This original machines, however, were very primitive compared to today's standards.

Most of the new types of Video Poker machines work with variants of the basic five-card draw Poker. Typical Video Poker variations, apart from Jacks or Better, include Deuces Wild, where a Two serves as a wild card and a jackpot is paid for four deuces or a natural royal. There are also other types of Video Poker games where four aces with a Five or smaller kicker pays an enhanced amount. These variation of Video Poker games is commonly called Double Bonus or Double Double Bonus.

Modern Casinos offer other types of multi-play Video Poker games as well, where the player starts with a base hand of five cards, and each additional hand draws from a different set of cards with the base hand removed. Other variation of Video Poker is the Joker Poker, where a Joker is added to the deck; or the newer Deuces & Jokers Wild Poker, where a Deuces and Joker combination can give even a higher pay than a Royal Flush.

New Video Poker variations are launched constantly by manufacturers. In order to start making your bets playing Video Poker games, whichever the type, you wil have to get familiar with the different Video Poker hands