Depending on the variant being played, each player usually starts the game with a certain number of cards—typically seven or ten. A draw pile is created by placing the remaining cards face down, and a discard pile is started by turning one card delivery slotsface up. Each player draws a card from the draw or discard pile, after which they discard one card from their hand. When a player successfully melds all of their cards into sets and sequences that are legal, they declare "Rummy" and win the round. In general, players gain points for the cards they have melded and lose points for unmelded cards that are still in their possession when another player leaves the game, though scoring can change depending on the exact rules being followed.

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