When the player first encounters the Dealer after leaving the bathroom and entering his office, the Dealer makes the player sign a General Release of Reliability. Once they do, the monitor on the side flickers to life, showing that their game will go on for three rounds, the third round being highlighted by a skull, representing the final round.

The first round is relatively easy for both players, as you can not "die" due to the Dealer hooking you up to a defibrillator in case you lose too many times. However, once the first round is over, the Dealer will implement "items" into the next round. These items vary from beer cans, handcuffs, cigarettes, a magnifying glass, and a hand saw. After defeating the Dealer a second time, the two enter the death round, which is where the Dealer turns off the defibrillators, and tells the player to get ready.

In the final round, the Dealer either wins and the player dies, or loses and dies himself. If the Dealer wins, the player is sent to the Dealer's barren purgatory afterlife, full of black spikes and a long metal gate. If the player wins, the Dealer is killed by the shotgun, and the player is seen driving away from the Dealer's residence, a briefcase of cash and the Dealer's shotgun in the passenger seat beside them.