Shithead (card game) have three or more cards in their hand). The game continues sequentially in a clockwise direction unless certain wildcards are played (such as a Joker), depending on rule set. When a player has no single card that is higher in value than the card on top of the play pile, they must play they must pick up all the play pile (put it in their hand) and end their turn. Picking up the pile can often put a player at a great disadvantage when many cards have been played as they will have more cards to shed than other players.
Tarot card games is confined to Bologna and uses the 62 card Tarocco Bolognese deck. These games have four face cards in each suit but dropped some of their pip cards early in their history. Both decks include 21 trumps and The Fool, a suitless card that excuses the player from following suit. The French adopted tarot games after their occupation of Milan in the late 15th century. French tarot, known locally as "Jeu de Tarot", is one which uses the full 78-card Tarot deck. Originally played with the Italian-suited Tarot de Marseille, the game is now played with the French-suited Tarot Nouveau.