Chinese dominoes are used in several tile-based games, namely, TienGow, Pai Gow, Gwat Pai, Che Deng, Tiu U, Kap Tai Shap.
It is the highest ranking pair in the game of Pai Gow, though the tiles rank low individually (in their normal order).
When a tile of this pair is played individually in the game of TienGow, each takes its regular ranking among other military suit tiles according to the total points.