Drinking games are social activities structured around rules that dictate the timing and quantity of alcohol consumption by participants, often in competitive or communal settings.^[1] These games typically encourage rapid or excessive drinking, distinguishing them from casual alcohol use, and encompass diverse formats including those reliant on physical skill, cognitive challenges, chance, or direct consumption mandates.^[1] Originating in ancient civilizations—such as Greek symposia where youth engaged in structured drinking contests and Roman banquets with similar practices—drinking games have persisted across cultures and eras as a facet of youthful social rituals.^[2] Among contemporary populations, particularly college students, participation rates reach as high as 91% among drinkers, with hundreds of variants documented that contribute to elevated intoxication levels and associated health risks like alcohol poisoning and behavioral impairments.^[1] Scholarly classifications divide them into categories such as targeted skill games (e.g., aiming tasks), communal games (e.g., shared penalty rounds), chance-based games (e.g., card draws), and extreme consumption games (e.g., rapid chugging without additional elements).^[3] While fostering social bonding and ice-breaking in informal gatherings, these games empirically correlate with binge drinking patterns and negative outcomes, including increased emergency medical visits, underscoring their high-risk nature despite recreational intent.^[1][4] This list enumerates prominent examples, highlighting rules, equipment, and play mechanics central to their execution.

Introduction

Definition and Core Mechanics

Drinking games constitute social activities centered on the consumption of alcoholic beverages, where rules explicitly integrate drinking as a consequence of gameplay outcomes, such as success or failure in mental, physical, or chance-based tasks.^[5] These games differ from incidental alcohol use by structuring intoxication as a core objective, often accelerating binge drinking through repeated penalties that determine both the drinker and volume consumed, typically measured in sips, shots, or full servings.^[6] Empirical studies of college populations indicate participation rates exceeding 50% among undergraduates, with games facilitating group dynamics that normalize high-risk intake patterns.^[7] At their foundation, core mechanics involve turn-based or simultaneous challenges governed by predefined rules, where elements of skill, luck, or social judgment dictate drinking obligations; for instance, losing a round might require one player to consume a designated amount while others abstain, creating asymmetric intoxication.^[8] Common structures include elimination formats, where repeated failures lead to progressive penalties, or accumulative systems building toward collective or individual targets, often employing everyday props like decks of cards, dice, coins, or cups to minimize setup barriers and maximize accessibility in informal settings.^[9] Variability arises in enforcement—strict adherence enforces fairness, while flexible house rules adapt to group size (usually 3–10 players) and alcohol type, though this can amplify risks by overriding measured portions.^[2] Mechanically, drinking games prioritize brevity and repeatability to sustain engagement amid impairment, with rounds lasting seconds to minutes and integrating verbal cues, physical feats, or probabilistic draws to resolve outcomes; this causal link between rule execution and consumption underpins their role in social facilitation, though data link frequent play to elevated blood alcohol concentrations and adverse events like blackouts.^[4] Unlike non-alcoholic games, the penalty's immediacy—tied directly to performance—embeds alcohol as both lubricant and hazard, with no inherent "winning" condition beyond endurance or sobering up last in some variants.^[10]

Cultural Prevalence and Social Context

Drinking games are most prevalent among young adults in Western societies, particularly university students, where participation rates range from 50% to 62% in the past month among drinkers.^[11] In the United States, surveys indicate that up to 80% of college students engage in drinking games at some point, with nearly half reporting recent involvement, often as a staple of campus social life.^[12][13] These activities are similarly widespread in the United Kingdom and continental Europe, with high proportions of students across multiple countries reporting play, though empirical data from non-Western regions remains limited and exploratory, such as in Nigeria where they facilitate gender performance in social settings.^[14][15] Socially, drinking games occur primarily in informal group settings like parties, pre-drinking gatherings, and events tied to sports or holidays, serving as structured mechanisms to accelerate alcohol consumption and foster interaction among peers.^[16][17] They are characterized as high-risk social rituals that enforce rules dictating intake to promote intoxication, often appealing to socially anxious individuals by enabling rapid group bonding through enforced drinking.^[13][18] Participation shows minimal gender disparity, with both men and women engaging at comparable rates—around 57-64% in recent periods—though games typically involve more drinks per session than non-game drinking.^[7] Ethnically, rates vary, with Caucasian students in U.S. samples reporting higher involvement (74%) than Hispanic peers (31%), reflecting potential cultural influences on adoption.^[7] In broader context, these games embed within youth-oriented leisure cultures emphasizing competition and camaraderie, yet studies link them to elevated heavy episodic drinking across diverse university populations, underscoring their role in normalizing rapid intoxication as a social norm rather than isolated recreation.^[3][19] While motives often cite fun and affiliation, empirical evidence highlights contextual risks, such as integration with pregaming or multi-location drinking, amplifying adverse outcomes without evident mitigation from game structure alone.^[20][21]

Historical Development

Ancient Origins

The earliest documented drinking games trace to ancient China during the Western Zhou Dynasty (c. 1046–771 BCE), where jiuling emerged as a structured activity to regulate alcohol consumption at social gatherings. In jiuling, participants drew lots from a container inscribed with penalties, such as reciting poetry or performing tasks, with losers required to drink as forfeit; this mechanism enforced order among elites and scholars, preventing unchecked inebriation while integrating intellectual elements like canonical verse memorization.^[22][23] In ancient Greece, kottabos represented a prominent skill-based drinking game from the 5th century BCE, particularly at symposia—male-only banquets featuring reclining participants and diluted wine. Players flung the sediment (lees) remaining in their kylikes (shallow drinking cups) toward targets, such as metal discs balanced on poles or floating saucers in water basins, aiming to knock them down or sink them with precision; success often invoked a toast to a beloved, adding ritualistic flair, while misses incurred drinking penalties. Archaeological evidence, including vase paintings and literary references in works by Aristophanes, confirms its popularity across Sicily and mainland Greece by the 4th century BCE, blending physical dexterity with competitive revelry.^[24][25] These games underscore a causal pattern in ancient societies: alcohol's disinhibiting effects necessitated rules to mitigate chaos, evolving from poetic or lot-based penalties in China to dexterous challenges in Greece, where empirical accounts reveal both entertainment and occasional violence, such as brawls from heated competition. No verifiable records predate the Zhou Dynasty, though unconfirmed speculations link rudimentary forms to Mesopotamian or Egyptian banquets lacking specific game mechanics.^[23][26]

Evolution in Modern Eras

In the 19th century, European drinking games incorporated mechanical and social elements, such as the puzzle jug—a ceramic vessel with hidden channels and perforations designed to spill liquid unless handled precisely, popular from the 18th to 19th centuries in England and continental Europe as a test of dexterity during tavern gatherings.^[26] In Italy, passatella, a card-based game originating in Roman times, gained renewed popularity, where players drew cards to dictate wine consumption or penalties like slaps, reflecting a blend of strategy and physical enforcement in social drinking.^[26] The 20th century saw drinking games proliferate in American college settings, driven by post-Prohibition youth culture and fraternity traditions, shifting toward competitive, accessible formats using inexpensive materials. Beer pong, for instance, originated in the late 1950s at Dartmouth College, where students adapted ping-pong by aiming balls into opponents' beer-filled cups on tables, initially called "Beirut" in some variants due to makeshift targets resembling the city's architecture during wartime imagery.^[27] Flip cup emerged around the same era from similar campus environments, involving teams racing to drink and flip plastic cups by slamming them upside-down, though exact origins remain anecdotal to university parties in the Midwest and Northeast.^[28] Card games like King's Cup also trace to mid-20th-century U.S. colleges, likely the 1950s, where a central cup of beer served as a penalty reservoir, with drawn cards assigning rules or drinks, evolving from earlier circle-of-death variants to emphasize group dynamics and escalating intoxication.^[29] This period's innovations emphasized speed, skill, and minimal equipment, facilitating widespread adoption amid expanding access to beer and casual athletics, though participation often correlated with higher binge-drinking rates in surveys of university students by the 1980s.^[30] By the late 20th and early 21st centuries, these games globalized via media and migration, with adaptations in Australia (e.g., "goon of fortune" using boxed wine) and Europe incorporating local alcohols, while commercialization introduced branded tables and rulesets, though core mechanics retained their informal, peer-enforced nature.^[31] Empirical studies from the 1990s onward documented their role in 50-70% of college drinking episodes in the U.S., highlighting causal links to rapid consumption patterns rather than moderated social lubrication.^[32]

Classification by Type

Card-Based Games

Card-based drinking games utilize a standard deck of 52 playing cards to assign drinking penalties, social rules, or sequential actions through drawing or dealing mechanics, often fostering group dynamics and progressive intoxication. These games typically feature predefined associations between card ranks, suits, or positions, where deviations from expectations result in sips, shots, or full drinks by designated players. Originating in mid-20th-century American collegiate environments, they adapted poker and solitaire elements to emphasize consumption over gambling, with popularity surging among fraternity and dormitory settings by the 1960s.^[29] King's Cup, also termed Ring of Fire or Kings, exemplifies the genre: players arrange cards face down in a circle around a central vessel, drawing one per turn to invoke rank-specific directives, such as aces initiating a "waterfall" where drinking cascades until the drawer ceases, or threes prompting the drawer to drink. Kings permit rule-making, like prohibiting eye contact, while the fourth king drawn empties the communal cup, blending strategy in rule selection with inevitable escalation. Variations persist regionally, but core rules emphasize equal participation for 4-10 players.^[33][34] Ride the Bus, sometimes called Pyramid, structures play around probabilistic guesses and matching: a dealer shuffles and deals four cards face down for each player to guess red or black, incurring sips for errors before flipping to form a pyramid base. Subsequent rounds require matching exposed cards to avoid accumulating drinks, peaking in a linear "bus" phase where the highest penalty holder chugs based on mismatches, testing memory and luck across 4-8 participants.^[35] Up and Down the River employs dealing rows of five cards per player, betting drinks on future matches: successes nominate others to drink, while failures self-penalize, progressing through river stages until depletion, rewarding foresight in 6-10 player groups. Fuck the Dealer mimics simplified blackjack, with the dealer drawing to 21 or busting to distribute drinks proportionally, amplifying hits for players exceeding 21. High or Low challenges sequential guesses on card values, doubling drinks for chains of correct predictions until failure resets, suiting smaller circles. These variants underscore cards' versatility in enforcing probabilistic and interactive penalties.^[36][37]

Dice and Coin-Flipping Games

Dice and coin-flipping games rely on the randomness of dice rolls or coin tosses to dictate drinking penalties, often incorporating bluffing, skill in bouncing, or sequential rules that escalate consumption. These games typically require minimal equipment—a set of dice or a coin—and can accommodate small to large groups, fostering social interaction through chance and strategy. Variations emphasize either pure luck, as in simple roll-to-drink mechanics, or deception, where players wager on hidden outcomes.^[38] Liar's Dice, also known as Perudo, involves each player rolling five dice concealed under a cup and sequentially bidding on the total number of a specific face value across all dice, with ones often acting as wild cards in drinking variants. A player may challenge a bid as a lie; if incorrect, the challenger drinks, otherwise the bidder does. This game, adapted for alcohol penalties, draws from traditional dice bluffing mechanics and gained visibility through its depiction in the 2006 film Pirates of the Caribbean: Dead Man's Chest.^[39] Three Man designates a rotating "three man" role who drinks on rolls summing to three, such as double ones or a three; other rolls trigger drinks for the roller or neighbors based on numbers like even for right or odd for left. The role shifts on successful three rolls, promoting rapid turns and frequent sips. This dice game, played with two standard dice, suits 3-8 players and emphasizes quick resolution to maintain pace.^[40] Bar Dice, prevalent in Wisconsin taverns, uses five dice where players roll for "ones" in a 21-roll sequence: the seventh one-setter names the drink, the fourteenth consumes it, and the twenty-first purchases the next round. Originating in mid-20th-century bar culture, it integrates team play and scoring for sets beyond ones, with losers drinking as penalty.^[41] Coin-flipping games shift focus to physical skill, particularly in bouncing a quarter into cups. Quarters requires players to bounce a coin off a table into a central cup; success allows rule-setting, such as assigning drinks to others or creating gestures that mandate sips if broken. Emerging in U.S. college settings by the mid-20th century, it supports 4+ players and variants like team relays.^[42] Speed Quarters accelerates the format with multiple cups in a line, where landing in one eliminates it and forces the adjacent player to drink before their turn; missing prompts self-drinking. This variant heightens competition through rapid elimination, often ending when one player clears all cups.^[42]

Physical and Skill-Based Competitions

Physical and skill-based drinking games rely on participants' coordination, precision, and speed, integrating alcohol consumption with competitive challenges such as throwing, bouncing, or flipping objects. These games often occur in team formats at social events like college parties, where mechanical skill influences outcomes and drinking obligations. Success typically spares players from penalties, while failures mandate consumption, heightening the test of dexterity amid intoxication.^[43][44] Beer pong stands as a prominent example, involving two teams positioned at opposite ends of a table with cups of beer arranged in triangular formations. Players alternate throwing ping-pong balls to land in opponents' cups; a successful shot requires the defending team to drink the cup's contents and remove it from play. The game traces its roots to the 1950s at Dartmouth College, evolving from informal adaptations of table tennis to structured competitions with rules like "bounce shots" doubling the penalty or "rebuttal" rounds allowing comebacks. Organized tournaments, such as those by the World Series of Beer Pong since 2006, feature standardized setups with 6- or 10-cup racks and distances of 7-8 feet between teams.^[45][46] Flip cup operates as a relay race between two teams aligned along a table's edges, each with plastic cups filled with beer. Starting simultaneously, players drink their portion rapidly, place the cup rim-down on the edge, and use one finger to flip it upright onto the surface; successful flips advance the next teammate, while failures require restarts. The first team to complete the sequence wins, with the losing side often consuming surplus beer. Emerging in the 1980s among college students, possibly in New Jersey, the game demands quick reflexes and balance, with variations including "survival mode" for elimination rounds.^[47][27] Quarters emphasizes manual finesse, where individuals or teams bounce a quarter off a table surface into a central cup or shot glass, prompting targeted players to drink. Basic rules dictate turns with penalties for misses after streaks, such as "three in a row" forcing extras; variations like "bounce and steal" permit intercepting airborne coins or timed challenges within 30 seconds for multiple successes. This game, popular in college settings since at least the late 20th century, adapts easily to group sizes and incorporates house rules for escalation.^[48][49] Additional variants include slap cup, a fast-paced derivative of beer pong where defenders slap away incoming balls to protect stacked cups, rewarding reaction speed with reduced drinking. Speed quarters heightens intensity by timing bounces into multiple glasses, often in competitive duels. These games underscore physical prowess but carry inherent risks of spills, injuries from rapid movements, and amplified intoxication from skill-dependent penalties.^[50]

Verbal and Social Interaction Games

Verbal and social interaction drinking games rely on players' disclosures, judgments, or whispered queries to determine drinking penalties, fostering group dynamics through conversation rather than physical or chance-based elements. These games often encourage revelations of personal experiences or hypothetical behaviors, which can build camaraderie but also risk interpersonal tension or regret from oversharing under alcohol's influence.^[51][52] Unlike skill competitions, they prioritize verbal participation, with penalties typically involving sips or shots for those identified or admitting to scenarios.^[53] A prominent example is Never Have I Ever, where players take turns stating an action they have never performed (e.g., "Never have I ever traveled abroad"); participants who have done it must drink, often tracking "lives" via fingers to eliminate players.^[52] The game, adaptable from non-alcoholic versions used in youth groups since at least the early 2000s, escalates as rarer admissions target fewer drinkers, prolonging play for groups of 3 or more.^[54][55] Truth or Drink modifies the classic truth-or-dare format by presenting probing questions (e.g., about relationships or regrets); the asked player answers honestly or drinks, with commercial variants using pre-printed cards divided into categories for structured escalation.^[56] Originating from online video series in the 2010s, it suits pairs or small groups but demands trust to avoid discomfort.^[57] In Most Likely To (or Who's Most Likely To), a player poses a scenario (e.g., "pass out first"), and the group simultaneously points to the most probable person; the pointed individual or majority target drinks, promoting humorous roasts in groups of 4+.^[58] This modern icebreaker, popularized via apps and cards since around 2015, reveals social perceptions but can foster rivalries if accusations turn personal.^[59] Paranoia involves whispering a "who" question (e.g., "Who is most likely to cheat?") to the next player, who silently points to another; the named person drinks to learn the query or abstains in ignorance, with the answerer optionally dictating further drinks.^[51] Suitable for 3+ players, it thrives on secrecy and paranoia, though its whispering mechanic limits large groups and risks miscommunications.^[60] Other variants include Two Truths and a Lie, where a player shares three statements (two factual, one fabricated), and incorrect guessers drink, emphasizing deception detection through verbal cues.^[53] These games, prevalent in college and adult social settings, underscore alcohol's role in lowering inhibitions for candid exchange, though empirical studies link such facilitation of honesty to heightened vulnerability for regret or conflict post-game.^[61] In adaptations of games like Truth or Drink and Never Have I Ever, particularly in mixed-gender groups, girls may select creative, embarrassing punishments for guys as alternatives or additions to drinking, designed to be light-hearted and consensual. Common examples include allowing girls to apply makeup and take a photo, singing a love song dramatically to a group member, wearing an item of women's clothing for subsequent rounds, performing a silly dance or lap dance to an inanimate object, sending a pre-approved embarrassing text to an ex or crush, confessing an embarrassing secret or imitating the opposite sex, taking a shot in a humorous position such as without hands or off a consensual body part, or posting an approved embarrassing status or photo on social media. These punishments emphasize mutual consent, respect for boundaries, and fun to prevent discomfort or non-consensual elements.

Digital and Contemporary Adaptations

Digital adaptations of traditional drinking games have proliferated since the mid-2010s, leveraging smartphones and internet connectivity to digitize card-based, verbal, and skill-oriented formats for easier access and remote participation. Mobile applications such as Picolo and Do or Drink replicate mechanics like Kings Cup or Truth or Dare by generating random prompts, challenges, and rules on users' devices, often requiring players to confirm actions via app interfaces to enforce turns.^[62][63] These apps typically support 2+ players in physical proximity, with features like customizable decks and timers to maintain game flow without physical props. Drink Roulette, for instance, offers 22 modes adapting roulette-style chance to drinking rules, achieving over 115,000 Android downloads and a 4.7 rating as of recent data.^[64] Online platforms emerged prominently during the COVID-19 pandemic in 2020, adapting games for video calls via shared digital interfaces or verbal coordination. Sites like Drunkdeck and Drink Virtually provide browser-based versions of classics such as King's Cup and Ride the Bus, where participants access a central card-flipping or prompt generator while drinking on cue during Zoom or similar sessions.^[65][66] Drunk Pirate simplifies pirate-themed rules into a free web tool for flipping virtual cards that dictate sips or actions, facilitating remote play without app downloads.^[67] Virtual adaptations of physical games, like Zoom Flip Cup or online beer pong via screen-shared aiming simulations, rely on honor systems or camera verification, though empirical reports indicate higher dropout rates due to enforcement challenges compared to in-person variants.^[68][69] Contemporary innovations include hybrid formats integrating social media and multiplayer apps, such as Drinking Dojo's suite of web games encompassing Never Have I Ever and Charades with drinking penalties, designed for asynchronous or live group sessions.^[70] Truth or Drink platforms extend verbal games online with over 1,000 categorized questions, allowing mode selection for party or extreme scenarios to suit group dynamics.^[71] While these tools expand accessibility—evidenced by sustained app ratings above 4.0 and pandemic-era spikes in virtual game searches—they often prioritize entertainment over traditional social bonding, with user feedback highlighting variability in engagement based on group familiarity and alcohol tolerance.^[72] Emerging trends point to augmented reality overlays for skill games, though as of 2024, adoption remains limited to niche prototypes without widespread empirical validation of efficacy.^[73]

Risks, Criticisms, and Empirical Evidence

Physiological and Acute Health Risks

Drinking games typically involve rules that mandate rapid and excessive alcohol consumption, often in competitive or social settings, resulting in binge drinking patterns where participants consume five or more standard drinks for men or four or more for women within a short period, elevating blood alcohol concentration (BAC) swiftly to hazardous levels.^[1] This accelerated intake overwhelms the liver's metabolism rate of approximately one standard drink per hour, causing acute alcohol intoxication characterized by impaired judgment, coordination deficits, and central nervous system depression.^[74] Physiological responses include vasodilation leading to hypothermia, gastric irritation inducing vomiting, and electrolyte imbalances from dehydration, which exacerbate risks during group activities.^[75] A primary acute risk is alcohol poisoning, where BAC exceeds 0.30-0.40%, manifesting in symptoms such as confusion, seizures, slow or irregular breathing, and potential respiratory arrest or coma; studies link participation in such games to heightened incidence of these events due to "extreme consumption" variants that prioritize volume over pacing.^[74] Vomiting, a common reflex to mitigate toxicity, poses secondary dangers like aspiration and choking, particularly when participants are supine or unconscious from games involving shots or chugs.^[76] Empirical data from college populations indicate that game players experience elevated rates of blackouts—amnesic episodes from hippocampal suppression—and acute injuries from falls or altercations, with meta-analyses confirming associations between game frequency and immediate physical harms like concussions or lacerations.^{[77] [75]} High-intensity episodes in drinking games, defined as 5+ drinks for women or 7+ for men in two hours, correlate with distinctly greater odds of acute consequences compared to moderate drinking, including hypoglycemia from suppressed gluconeogenesis and cardiac arrhythmias in vulnerable individuals.^[75] From 1999 to 2005, at least 157 U.S. college-age individuals (18-23) died from alcohol poisoning, with many incidents tied to binge contexts like games that encourage unchecked escalation.^[78] Peer pressure and quantification rules in games amplify these risks by disinhibiting self-regulation, leading to overconsumption before satiety cues emerge.^[1]

Long-Term Health and Behavioral Consequences

Frequent participation in drinking games has been linked to elevated risks of developing alcohol use disorder (AUD) through patterns of repeated binge drinking, which accelerate tolerance and dependence. Longitudinal studies tracking young adults over 24 months found that monthly engagement in drinking games correlates with sustained high-risk alcohol consumption, including heavier episodic intake that persists beyond acute episodes and contributes to chronic dependency.^[79][80] Repeated exposure in these games, often involving rapid consumption of multiple standard drinks, heightens the likelihood of neuroadaptations in the brain's reward system, as evidenced by associations between drinking game frequency and increased alcohol craving intensity in follow-up assessments.^[81] On the physiological front, long-term involvement correlates with heightened incidence of alcohol-attributable diseases, such as alcoholic liver disease and cardiovascular complications, due to cumulative damage from episodic heavy drinking exceeding thresholds for safe consumption. Meta-analyses of college-aged participants indicate that drinking game players experience 1.5 to 2 times the odds of persistent heavy drinking trajectories compared to non-players, predisposing them to irreversible cognitive impairments like memory deficits and executive function decline.^[82][83] These outcomes stem from the games' structure, which incentivizes consumption volumes averaging 5-8 drinks per session, far surpassing moderate levels and compounding oxidative stress on hepatic and neural tissues over years.^[84] Behaviorally, habitual players exhibit entrenched patterns of impulsivity and risk-taking, with longitudinal data showing correlations to ongoing interpersonal conflicts, academic underperformance, and elevated rates of polysubstance use as coping mechanisms for withdrawal.^[85] Participation fosters social reinforcement of maladaptive norms, where frequent intoxication erodes self-regulatory skills, leading to a "reversal of competence" that manifests in chronic poor judgment during sober states as well.^[86] Empirical reviews confirm that these behavioral shifts, observed in cohorts followed for 2+ years, amplify vulnerability to legal issues like DUIs and relational breakdowns, independent of baseline personality traits.^[21][87]

Legal, Ethical, and Societal Controversies

Drinking games have faced legal scrutiny primarily due to their association with rapid and excessive alcohol consumption, which can exacerbate risks of intoxication-related incidents. In the United States, numerous universities prohibit drinking games under student conduct policies, citing their design to promote high-risk behaviors; for instance, Stanford University's policy explicitly bans games and activities that encourage rapid alcohol intake. Similarly, Wheaton College deems them inherently dangerous and forbids their use on campus. In Canada, Quebec's Régie des alcools regulations restrict drinking games that incentivize excessive short-term consumption, as debated in institutional councils like McGill's in 2010. Legal actions have occasionally arisen from injuries sustained during such games, including a 2022 lawsuit against PricewaterhouseCoopers (PwC) where an employee alleged severe brain injury from a "pub golf" event organized by colleagues, claiming intoxication impaired judgment leading to a fall. Another case involved a trademark dispute over the "Power Hour" game format in 2013, highlighting intellectual property tensions but not direct harm. Ethically, critics argue that drinking games undermine informed consent and personal autonomy by structuring peer pressure to consume alcohol beyond individual limits, often resulting in diminished protective behaviors like monitoring intake. Research indicates that participation motives—such as social bonding or competition—frequently lead to binge drinking without realization of escalating risks, including unwanted sexual encounters and impaired decision-making. A qualitative study found players viewing games as "icebreakers" but acknowledging associations with harmful practices, including alcohol poisoning and hospitalization. These concerns are amplified among adolescents, where games contribute to early-onset heavy drinking patterns linked to long-term ethical dilemmas like addiction vulnerability and societal costs of underage alcohol access. Societally, drinking games are criticized for normalizing binge drinking culture, particularly on college campuses, where meta-analyses show consistent links to elevated alcohol-related harms, including blackouts and injuries, independent of general drinking levels. Viral iterations like "neknominations" in 2014 prompted public backlash after deaths from extreme dares involving alcohol, underscoring risks of gamified consumption spreading via social media. Public health advocates, including organizations like Drinkaware, highlight how games facilitate rapid intoxication in group settings, increasing accident probabilities and straining emergency services; one analysis noted heightened problems for socially anxious participants. While some defend them as harmless social rituals, empirical data from college surveys reveal disproportionate consequences, fueling debates over whether institutional bans infringe on adult freedoms or appropriately mitigate foreseeable harms.

Alphabetical Listings

0-9

3 Man is a dice-based drinking game typically played with two or more participants using two six-sided dice, where players take turns rolling and assign drinks according to specific numerical outcomes, such as the roller drinking on a 3, the person to the right on a 7, or a social drink on a 9.^[88] The game designates a "Three Man" role to the player who first rolls doubles that sum to 3, who must drink on any subsequent 3 rolled by others unless they roll it themselves, with the role passing upon rolling a 3.^[88] Additional rules include the person to the left drinking on an 11 and thumb-master privileges for rolling doubles summing to 7, emphasizing quick reflexes and cumulative alcohol intake.^[88][89] 7-11 Doubles requires three dice and at least three players seated in a circle, with the objective of avoiding drinks triggered by rolling a 7, an 11, or any pair of doubles, where the roller drinks on doubles, the player to the left on a 7, and the player to the right on an 11.^[90] Players pass one die clockwise after each roll to vary outcomes, and losing a die imposes a drink penalty on the responsible player, continuing until only one die remains.^[90] This game promotes rapid decision-making and increases drinking frequency through escalating penalties for errors like dropped dice.^[90] 21, also known as Bagram or Twenty Plus One, involves players counting sequentially from 1 to 21, where each participant says one to three numbers per turn, and the player forced to say "21" incurs a drinking penalty, often restarting the count.^[53] Variations include directional changes on multiples of 7 or excluding numbers containing 7, heightening the risk of reaching 21 through miscalculation.^[53] The game relies on memory and strategy to avoid the penalty sip, typically played in groups without additional equipment.^[53]

A

Asshole is a hierarchical card game for four or more players using a standard 52-card deck, where positions such as President, Vice President, and Asshole are established based on the first hand's performance, with the Asshole required to deal cards and perform menial tasks like fetching drinks in subsequent rounds.^[91][92] The President receives the two best cards from the Asshole's hand in exchange for their two worst, and higher ranks can compel lower ones to drink at any time, enforcing a social power dynamic that persists across multiple hands until positions rotate.^[93][91] Play involves shedding cards in sequence, with rules like "socials" (group drinks on matching ranks) and protections for higher ranks, promoting rapid consumption among losers.^[92] Alphabet Game requires players to sequentially name items within a predefined category—such as countries, celebrities, or animals—starting from the letter A and progressing alphabetically, with the player failing to respond promptly or accurately required to drink.^[94] The game tests memory and quick thinking under intoxication, often escalating as participants struggle with later letters like Q or X, and can incorporate penalties for repetitions or invalid entries.^[94] Animals involves three or more players mimicking animal sounds or actions on cue, typically without props, where incorrect or delayed imitations result in drinks; it serves as an impromptu verbal and performative game emphasizing absurdity and peer judgment.^[95]

B

Baseball is a team-based drinking game played with quarters and shot glasses, simulating baseball innings where players bounce coins into progressively fuller glasses representing bases. Two teams of at least two players each alternate "at-bats," with the batter bouncing a quarter off a table toward the opponent's glasses arranged in a diamond formation: the closest glass one-quarter full, the next half-full, the third three-quarters full, and the home plate glass full. A successful bounce into a glass scores a base or run, forcing the opposing team to drink the contents and refill; misses allow fielding attempts to catch the quarter in mid-air for outs. Games proceed through nine innings, with teams rotating roles, and excessive bounces or fouls incurring penalties like additional drinks.^[96][97] Battle Shots, also known as Battleshots, adapts the Battleship board game into a drinking variant where players arrange shot glasses on grids to represent ships, calling coordinates to "fire" at opponents; hits require the targeted player to consume the shot, while misses result in no penalty. Typically played by two players or teams using custom boards or DIY setups with cups filled with liquor or beer, the objective is to sink all opponent "ships" (groups of glasses) first, with the losing side downing remaining shots. Commercial versions emerged around 2010, emphasizing strategy and intoxication through iterative guesses and revelations of positions.^[98][99] Beer die involves two teams of two players each stationed at opposite ends of a 4-by-8-foot plywood table divided centrally, throwing a standard six-sided die high into the air (minimum 9 feet) to land on the opponents' side; successful uncatched landings on the table force drinks based on the die's face value (e.g., 5 or 6 means full beer chugs), while catches prevent scoring and allow counter-throws. Originating in New England college environments in the 1970s, the game emphasizes precision, height, and reaction time, with fouls like low throws or table touches incurring penalties; variants like snappa permit seated play indoors. Empirical observations note its promotion of rapid alcohol consumption, with average games leading to multiple beers per player per set.^[100][101] Bite the Bag requires players to retrieve a paper bag placed on the floor using only their teeth, without hands, knees, elbows, or other body parts touching the ground; failures result in drinking penalties, and the bag is shortened incrementally after each round to increase difficulty. Popular at parties for its physical comedy and escalating challenge, the game tests flexibility and balance, often leading to laughter-induced failures and repeated sips; a 2022 analysis highlighted its inclusivity across sobriety levels but warned of injury risks from overexertion.^[102][103]

D

Dizzy bat is a physical drinking game typically played outdoors with a group of participants, requiring a baseball bat, a full can or bottle of beer per player, an empty beer can for batting practice, and a Wiffle ball bat or similar.^[104] The player first chugs the beer directly from the bat's hollow handle, then places their forehead against the bat's top and spins around it a number of times equal to the seconds taken to finish the drink, often 10 to 20 rotations.^[105] After spinning, a teammate tosses an empty beer can into the air, and the disoriented player attempts to hit it with the bat; success advances the player or scores a point, while failure results in additional drinks or penalties such as finishing another beer.^[106] The game emphasizes coordination and endurance, with variations including team relays or using a filled bat for chugging to increase difficulty.^[107] Detonator, also known as Shake Shake Bang Bang, involves a single unopened beer can passed among players in a circle.^[108] Each participant shakes the can vigorously for a few seconds before smashing it horizontally against their forehead while shouting "Detonator," aiming to dent it without causing it to rupture and spray foam.^[109] Play continues clockwise until the can explodes on a player's turn, at which point that individual must drink the resulting foamy contents as a penalty.^[108] The game relies on pressure buildup from shaking and impacts, with risks of minor injury from the smashing action, and is favored for its simplicity requiring only beer and no additional equipment.^[109] Death Ring is a high-stakes card-based drinking game for large groups using two standard decks of playing cards and abundant beer.^[110] Players sit in a circle and are dealt five cards each from the first deck; the dealer then reveals cards from the second deck one by one, prompting players to discard matching ranks or suits from their hand to avoid accumulating "death" cards.^[110] Those unable to match drink according to the revealed card's value or face, with escalating penalties for holding multiple unmatched cards, continuing until one deck is exhausted and hands are evaluated for the player with the most "deaths," who faces severe drinking forfeits.^[110] Variants adjust matching rules to increase intensity, emphasizing strategy and rapid consumption.^[110]

F

Flip cup is a competitive team drinking game typically played by two groups of equal size positioned along opposite edges of a long table. Participants fill plastic cups with beer or similar beverages and place them rim-down on the table's edge. The game begins with the first player from each team consuming their drink and attempting to flip the empty cup from its inverted position to upright by flicking the rim with their fingers. A successful flip advances the next teammate; failures necessitate re-drinking and retrying until success. The first team to complete all flips wins, often resulting in rapid consumption and physical dexterity challenges.^[111][112]
Fuzzy duck is a verbal word-association drinking game played in a circle, where participants alternate saying either "fuzzy duck" or "does he," with the option to reverse direction by saying "ducks fuzzy" or similar phrases to maintain alternation. The sequence escalates when a player says "does he" followed by the next responding "duck," prompting a speed round of "fuzzy" (rightward) or "ducky fuzz" (leftward) until a mistake occurs. Players who hesitate, mispronounce, or break the pattern drink a penalty sip, testing linguistic agility under alcohol influence. The game continues indefinitely, with increasing difficulty from slurred speech.^[113][114]
Fuck you pyramid is a card-based drinking game using a pyramid stack of 10 face-down cards (four at the base, decreasing to one at the top), with additional cards dealt to players. Beginning at the pyramid's top, players turn cards and assign "fuck yous" based on rank—aces prompt all to drink, numbered cards allow pointing to individuals who drink equal to the value, face cards enable assigning drinks to chosen players, and custom rules may apply for jokers. After the pyramid, dealt cards resolve similar penalties, emphasizing strategic targeting and memory of assignments.^[115][116]

G

G'day Bruce is a verbal drinking game typically played in a circle by groups of four or more participants, often with an Australian accent for added humor. The game begins with the first player greeting the person to their left by saying "G'day Bruce," to which the recipient replies "G'day Bruce" before gesturing to the next player and repeating "G'day Bruce." The sequence builds cumulatively, incorporating prior elements such as "G'day woof" or extended phrases like "Say g'day to Bruce, woof," with players eliminated and required to drink upon failing to recall the exact chain.^[117][118] Goon of Fortune, popular in Australia, involves attaching boxed wine sacks known as "goon bags" to a rotating clothesline such as a Hills Hoist using pegs, with players positioned in a circle around it. One player spins the clothesline, and when it stops, the participant(s) closest to the landed bag must drink a predetermined amount directly from it, often by tilting their head back; touching the line during play results in a penalty drink. The game emphasizes chance and proximity, with multiple bags increasing participation odds, and is commonly played outdoors at barbecues or parties.^{[119][120][121]}

H

Horserace is a card-based drinking game simulating horse racing, typically played with a standard 52-card deck excluding the four aces, which represent the competing horses corresponding to each suit.^[122] Players begin by placing bets in the form of drinks—such as sips or shots—on their chosen horse (suit), with the dealer or a designated player collecting these wagers before the race starts.^[123] The race track consists of a series of face-down cards laid out in a straight line, usually 8 to 12 cards long, flipped one by one to determine progress: a card matching a betted suit advances that horse by the card's numerical value (face cards count as 10), while mismatched suits result in no movement for that horse.^[124] The first horse to reach or exceed the end of the track wins, allowing bettors on the victor to distribute drinks equal to their wager to losers, while non-winners consume their bet amount.^[125] Variations include requiring partial drink consumption before betting or adjusting track length for game duration, with the game often lasting multiple rounds until players are sufficiently intoxicated.^[122] High or Low, also known as Hi-Lo, is a simple card drinking game for 2 or more players using a standard deck, where participants predict whether the next drawn card will be higher or lower than the current one.^[126] A correct guess passes the card and a drink to the next player in sequence, but an incorrect prediction requires the guesser to drink and continue drawing until correct, escalating penalties for chains of errors.^[126] Ties typically result in both players drinking, and the game continues until the deck is exhausted or players opt to reshuffle, emphasizing quick decision-making and accumulating drinks for wrong guesses.^[126] H.O.R.S.E. adapts the basketball trick-shot game into a drinking format, where players attempt to replicate increasingly difficult shots or challenges, spelling out "H-O-R-S-E" with each missed imitation requiring a letter and a drink.^[127] The first to spell the full word loses and must finish their drink or face elimination, with rules allowing customization of the word or challenges to suit available space and alcohol tolerance.^[127] This game suits athletic groups, often played outdoors, and promotes creativity in devising unique shots to outmaneuver opponents.^[127]

I

I Never (also known as Never Have I Ever) is a verbal drinking game in which participants reveal personal experiences by stating actions or events they claim not to have done; those who have engaged in the stated activity must consume a drink, typically a standard measure of alcohol such as a shot or sip of beer.^[128] The game promotes social bonding through confession and mild embarrassment, often escalating in intimacy as play progresses, and is adaptable for groups of 3 or more players with no equipment beyond beverages.^[129] To begin, one player announces "I never..." followed by a truthful statement of something they personally have not experienced, such as "I never kissed someone of the same sex"; all others who have done so drink, and the turn passes clockwise.^[128] Variations include limiting statements to embarrassing or risqué topics to heighten engagement, though over-reliance on alcohol consumption can lead to rapid intoxication, with sessions typically lasting 30-60 minutes depending on group size and pacing.^[129] Indian Poker, a bluffing-based card drinking game derived from the poker variant where players hold a single card to their forehead visible to others but not themselves, emphasizes psychological reads over traditional poker skill.^[130] Suitable for 3-8 players using a standard 52-card deck, the dealer distributes one card face-up to each participant's forehead, after which players bet drinks into a central "pot" based on inferences about their own card's value from opponents' reactions and bids.^[131] The player with the highest card wins the pot, forcing losers to drink its contents, while ties may require additional rounds or mutual drinks; low cards often result in heavier penalties, making it prone to chaotic hilarity but also quick inebriation.^[130] Played in short hands of 5-10 minutes each, the game discourages folding to maintain drinking momentum, though strategic bluffing—such as exaggerated confidence with a weak card—can mislead others effectively.^[132] Irish Poker is a guessing card game adapted for drinking, where players predict attributes of their face-down cards, incurring drinks for incorrect guesses in a sequence of rounds focused on color, suit, rank, and position.^[133] Requiring 4-10 players and a full deck, each receives four cards placed face-down before them; rounds proceed with collective guesses—first all red/black, then suits, higher/lower ranks, and inside/outside a range—where wrong predictions mandate sips proportional to errors, often 1-4 drinks per mistake.^[134] The game, lasting 20-40 minutes per full playthrough, builds tension as cards are revealed sequentially, with the dealer facilitating and optional house rules adding penalties for unanimous wrong guesses; it favors luck over skill but encourages verbal banter to influence peers' confidence.^[135] Unlike betting variants, the drinking format skips monetary stakes, prioritizing rapid turnover and group penalties to sustain alcohol intake.^[133]

K

Kings, commonly known as King's Cup, is a multiplayer card drinking game utilizing a standard 52-card deck shuffled and fanned face down in a circle surrounding a central vessel termed the King's Cup, filled with a communal alcoholic mixture such as beer or a cocktail of available beverages. Participants alternate drawing the top card from the fan, adhering to predefined rules tied to each rank that enforce drinking penalties, social interactions, or chain reactions among players. Standard associations include aces triggering a "waterfall" where sequential drinkers pour until the ace drawer ceases; twos permitting the drawer to nominate a drinker; threes obligating the drawer to self-administer; fours requiring the last to touch the floor to drink; fives directing males to imbibe; sixes targeting females; sevens mandating the last to raise a hand skyward to consume; eights selecting a perpetual drinking buddy; nines initiating a rhyming chain broken by repetition or hesitation resulting in penalty drinks; tens enforcing category naming games like brands or films with similar penalties; jacks appointing a "thumb master" who subtly signals by thumb-to-forehead contact, compelling late followers to drink; queens designating the drawer as "question master" wherein unanswered queries prompt drinks; and kings incrementally filling the central cup, with the fourth king obligating its full consumption, often potent due to accumulated contributions.^{[34][136][137]} The game's structure promotes escalating intoxication through cumulative rules and the climactic King's Cup chug, with play continuing until card depletion or mutual cessation. Variations abound regionally and by group consensus, such as substituting ranks (e.g., "never have I ever" for nines) or adapting for larger groups with multiple decks, reflecting its informal evolution primarily in collegiate and party environments since at least the late 20th century.^[34][136] House rules often supersede standards to suit participants, underscoring the game's adaptability over rigid protocol.^[138] Less prevalent entries under K encompass niche variants like Killer Kings, a competitive twist on Kings incorporating ant consumption challenges alongside card draws for heightened penalties, and Keg Bowling, wherein teams roll an empty keg to topple chair "pins," with strikes determining drink exemptions and gutters incurring penalties.^[139][140] These maintain the core objective of moderated alcohol intake via game mechanics but lack the widespread documentation of Kings.

L

Liar's Dice is a bluffing game using five six-sided dice per player, concealed in cups, where participants make escalating bids on the total quantity of a specific face value across all dice, including their own; a bid can be challenged as a lie, revealing all dice to determine the winner, with the loser or challenger's error resulting in drinks.^[141] The game, popularized in media like Pirates of the Caribbean, emphasizes deception and probability estimation, often leading to elimination rounds where players lose dice and drink upon defeat.^[39] Variants like Perudo use identical rules but may adjust for fewer dice or cultural adaptations.^[142] Lose is a two-player card drinking game using a standard deck, where one player draws face-down cards and the other guesses their value before reveal; correct high guesses win drinks from the opponent, while errors impose penalties on the guesser, continuing until the deck depletes.^[143] Played as a game of chance rather than skill, it suits quick sessions and can incorporate house rules for varying drink volumes.^[143] Lowball (also known as Low Ball) is a dice-based game for multiple players using two dice per turn: one die sets the drink count (1-6 sips or shots), while the second determines avoidance by rolling lower than predecessors, with the highest roller consuming the assigned drinks.^[144] Simplicity defines its appeal, requiring minimal setup and fostering rapid turns, though it risks uneven intoxication based on dice luck.^[144]

M

Matchbox is a skill-based drinking game played around a table with an empty matchbox as the primary object. Players take turns attempting to flip the matchbox from its long edge onto the table surface or into a designated target such as a pint glass; successful flips on the long edge may require one finger's width of penalty drink for opponents, while landing on the short edge demands two fingers, and missing entirely or landing in the glass results in finishing one's drink.^[145] The game accommodates any number of participants and emphasizes precision to avoid penalties.^[146] Medusa requires no equipment beyond drinks and is suitable for groups seated where eye contact is possible. Participants place their heads on the table, and on a countdown of three, all raise their heads to glance at a random player; if two players make eye contact, they shout "Medusa" and each consume one standard drink, such as a shot, while others remain unaffected.^[147] The process repeats until desired intoxication levels are reached, with variations including central shot glasses for quicker consumption.^[148] Most Likely To involves group consensus on hypothetical scenarios, typically played in a circle with drinks in hand. One player proposes a prompt like "most likely to get arrested," and all point simultaneously at the person they deem most fitting; the individual receiving the most fingers drinks, often a full beverage serving.^[53] This verbal game fosters social interaction and can incorporate hundreds of prompts for extended play, though it relies on subjective judgments among participants.^[149]

N

Never Have I Ever is a social drinking game in which participants sit in a circle and take turns stating an experience they claim never to have had, phrased as "Never have I ever...". Players who have engaged in the stated activity must drink, typically a sip of beer or a shot of liquor, as a penalty.^[55] The game encourages revelation of personal anecdotes, often escalating in intimacy or risqué content to maximize participants drinking, and can be adapted for non-alcoholic play by using fingers to track "lives" instead, where players lower a finger for each admission until one remains with fingers up.^[150] Common prompts include mundane acts like "Never have I ever traveled abroad" or more provocative ones like "Never have I ever cheated on a partner," with the goal of eliminating others through targeted statements based on known group histories.^[151] Neknominate, also known as neck nomination, emerged as a viral social media challenge in early 2014, requiring participants to film themselves chugging a pint or more of alcohol—often straight spirits or mixed with extreme additives—before nominating two friends to do the same within 24 hours and posting the video online.^[152] Originating in Australia around late 2013 before spreading globally via platforms like Facebook, the game prompted health warnings from authorities due to acute alcohol poisoning risks, with documented fatalities including a 19-year-old Irishman in January 2014 who drowned after participating and a Welsh man in February 2014 who consumed a pint of vodka.^[153] Participation correlated with higher baseline alcohol consumption, male gender, and lower peer resistance, but the trend faded by mid-2014 amid public backlash and platform crackdowns, underscoring the perils of gamified binge drinking amplified by digital virality.^[154]

P

Pass-Out is a commercial board game designed as a drinking activity, first released in the 1960s by inventor Frank Bresee, where players roll dice to move around the board, recite tongue twisters to collect "pink elephant" cards, and consume drinks as instructed by spaces or cards, with the goal of amassing ten such cards first.^[155][156] A drink in the game is defined flexibly as a sip, swig, or larger amount chosen by the player, but skipping turns for refusal incurs penalties like additional drinks.^[157] President, also known as Presidents and Assholes or Scum, is a shedding-type card game adapted for drinking, typically played with a standard deck for 4-10 players, where participants aim to discard all cards first to claim the "President" rank, while the last remaining with cards becomes the "Asshole," establishing a hierarchy that dictates post-round drinking commands such as the President ordering lower ranks to drink or fetch beverages.^[158][159] Play proceeds in rounds with players matching or exceeding the previous card or combination played, passing if unable and taking a drink; special rules often apply to cards like threes clearing the pile or twos requiring skips.^[158] Power Hour, sometimes called Century or 21 for 21, requires participants to consume one shot—typically of beer—every minute for 60 minutes, often facilitated by timers, apps, or themed music playlists that signal each interval, resulting in approximately 2-3 standard drinks depending on shot volume.^[160][161] Variants include escalating alcohol strengths or themed editions like decade-specific songs triggering extra sips.^[162] Pub Golf, or Bar Golf, structures a pub crawl as an 9- or 18-"hole" course, with each venue assigning a specific drink and "par" number of sips or gulps to finish it, scoring players like golf where under-par finishes yield birdies and penalties for spills or failures add strokes, culminating in the lowest total score winning.^[163][164] Participants often don golf-themed attire, and rules enforce full consumption per hole to avoid disqualification.^[165] Pyramid involves arranging cards face-down in a 5-4-3-2-1 pyramid layout, dealing the rest to players, then flipping bottom-row cards first to assign drinks (one per card held by players, increasing by row level for multiples), with additional rules like bluffing holdings or social penalties for matching suits amplifying consumption.^[166][167] The game escalates penalties toward the pyramid's top, encouraging strategic card retention to target opponents.^[166]

Q

Quarters is a drinking game where participants bounce a quarter off a table surface into a central glass or cup, with successful landings requiring designated players to consume alcohol.^[168] Typically played by three or more individuals seated around a sturdy table, the game uses a standard 25-cent coin and a small glass, such as a shot glass or juice cup, placed in the center.^[169] Players alternate turns, flicking the quarter with the thumb to achieve a bounce that lands it inside the target; a successful shot allows the shooter to select another player to drink, often a full shot or sip of beer.^[168] Common rules stipulate that missing three consecutive shots results in the shooter drinking as a penalty, promoting continuous play and increasing intoxication risk.^[168] Variations include "Speed Quarters," where teams on opposite table sides compete to bounce quarters into an opponent's shot glass within a time limit, such as 60 seconds, while consuming a beer; the fastest team wins, emphasizing speed over precision.^[170] Another variant permits "power shots," like landing the quarter to spin on the glass rim, forcing all players to drink or enacting special rules like "center out," where the shooter drinks first.^[169] The game emphasizes hand-eye coordination and strategy in targeting opponents, though excessive play can lead to rapid alcohol consumption; responsible participation limits shots per round to mitigate health risks from overdrinking.^[169] Popular in social settings like college parties since at least the late 20th century, Quarters requires minimal equipment but demands a flat, non-porous surface to prevent coin slippage.^[171]

R

Ring of Fire, also known as Kings or King's Cup in some variants, is a card-based drinking game played with a standard deck of 52 playing cards arranged face down in a circle surrounding an empty central cup, typically a large glass or chalice.^[172] Players take turns drawing cards clockwise, with each card value or suit dictating specific drinking rules, such as the 2 of any suit requiring the drawer to nominate another player to drink, the 7 prompting a "thumbmaster" rule where the last to place thumb on table drinks, or face cards assigning challenges like "rhyme" for Jack or "category" for Queen.^[173] The game continues until the final king is drawn, at which point the player empties the central cup, which accumulates poured drinks from other rules like drawing an Ace (waterfall, where continuous drinking cascades until the drawer stops).^[174] It requires 3-10 players and any alcoholic beverages, emphasizing social interaction through escalating rules that can include personal questions or physical actions.^[175] Ride the Bus is a popular card-based drinking game for 4-8 players using a standard 52-card deck. One player serves as the permanent dealer. Phase 1: Acquiring Cards (Guessing)
The dealer asks each player in turn four questions while dealing face-down cards one at a time:

1. Red or Black? (Wrong = sip)
2. Higher or Lower? (than previous card; Ace high/low agreed upon) (Wrong = sip)
3. Inside or Outside? (between the first two or outside both) (Wrong = sip)
4. Suit? (exact suit) (Wrong = sip, sometimes more)
   All players end with four cards.

Phase 2: Pyramid
The dealer builds a face-down pyramid (commonly 5 cards bottom row, then 4, 3, 2, 1 top). Drink values escalate per row (e.g., bottom = 1 sip per match, increasing upward).
Cards are flipped one by one (often bottom to top). Any player with a matching rank in hand plays it (can play multiple), forcing others to drink the row's value. Goal: shed all cards. Phase 3: Riding the Bus
Player with most cards left "rides the bus." They must correctly guess four questions (red/black, higher/lower, inside/outside, suit) in sequence on new cards. Wrong guess = drink and restart from beginning. Success gets them "off the bus." Variations include pyramid size, drink escalation, Ace rules, and non-alcoholic adaptations. Play responsibly, drink in moderation, and ensure safe transportation. Russian Roulette, in its drinking variant, simulates chance-based risk without firearms by using shot glasses filled with varying beverages—typically five with mild alcohol like beer or vodka and one with a stronger or unpleasant option like straight liquor or non-alcoholic deterrent—arranged randomly for players to select blindly in turns.^[176] Commercial versions employ spinning wheels or turntables with 16 slots holding shots of diverse drinks (e.g., water, juice, wine, or spirits), where a metal ball or spinner determines the outcome, and players drink whatever lands.^[177] Rules often limit rounds or add escalating stakes, such as increasing "loaded" chambers, suitable for 2+ players at parties to heighten unpredictability and laughter through surprise elements.^[178] Unlike lethal origins, this emphasizes group fun with controllable intoxication levels, though excessive play risks overconsumption.^[179]

S

Scum, also known as President, is a climbing card game for multiple players using a standard deck, often played as a drinking game where the lowest-ranking players consume drinks as penalties. The objective is to shed all cards first by playing equal or higher combinations than the previous play; the first to empty their hand becomes President, while the last becomes Scum, dictating card exchanges and drinking rules in subsequent rounds.^[180] Sevens is a card drinking game for at least three players requiring a deck of cards and beverages. Players take turns playing cards in ascending or descending order from aces, with sevens starting new suits; inability to play results in drinking.^[181] Ship, Captain, and Crew is a dice-based drinking game using five dice. Each player rolls up to three times per turn to secure a 6 (ship), then 5 (captain), then 4 (crew) in sequence, setting them aside; the sum of the remaining two dice determines the cargo score. The player with the lowest score drinks, typically an amount proportional to the difference in scores.^[182][183] Slam Pong is a competitive team drinking game variant of beer pong. Teams aim to hit opponents' cups with a ping pong ball, scoring a point per hit; upon scoring, each team member drinks one-fifth of their cup. The first team to five points wins.^[184] Screw Your Neighbor is a poker-style drinking card game for four or more players using alcohol. Players bet and pass unwanted cards to the neighbor, with losers drinking based on the pot or hand outcomes.^[185] Spin the Bottle is a classic party drinking game using an empty bottle and alcohol. Players spin the bottle; the person it points to drinks or performs a designated action.^[186]

T

Three Man is a dice-rolling drinking game typically played with two or more participants using two six-sided dice and alcoholic beverages.^[88] The game begins by determining the initial "Three Man" through sequential rolls until a player achieves a sum of three (usually a 1 and 2); this player must drink whenever a three appears on any die or the total sums to three thereafter.^[187] Additional rules include: rolling a seven requires the player to the left to drink; a nine directs the drink to the player on the right; doubles allow passing the dice; and a total of ten prompts a group drink.^[188] The role of Three Man transfers upon rolling a three, shifting the drinking penalty.^[189] Variations may incorporate rules like rolling an eleven to switch Three Man roles or thumbs-up for fives to claim sobriety.^[190] Thumper involves players seated in a circle who assign unique hand gestures beforehand, such as mimicking animals or objects, to facilitate rapid, non-verbal signaling.^[191] Gameplay commences with rhythmic table-thumping; each player in turn performs their own gesture followed by another player's, accelerating the sequence until a mistake—failing to thump, repeating a gesture, or hesitating—forcing the errant player to drink and restart the chain.^[192] The game demands quick reflexes and memory, often leading to frequent errors as intoxication increases, with larger groups amplifying complexity through more gestures.^[193] Equipment is minimal, relying solely on hands and drinks, making it suitable for impromptu sessions.^[194] Tic-Tac-Toe Drinking Game adapts the classic board game by using shot glasses filled with alcohol as markers on a 3x3 grid, typically for two players or teams.^[195] Players alternate placing their marked glasses (X or O) to achieve three in a row horizontally, vertically, or diagonally; the loser of each round drinks the contents of the winning glasses or all unplaced ones, depending on house rules.^[196] Matches continue until one side depletes their glasses, emphasizing strategy alongside consumption, with commercial sets providing etched boards and glasses for precision.^[197] Taps is a coin-based elimination game where players sit around a table, each with a coin and drink.^[198] A designated starter taps their coin once on the table to begin; subsequent players must tap faster than the previous, escalating speed until a player fails to accelerate or taps out of sequence, resulting in a drink penalty and elimination.^[199] The last player remaining wins, with minimal equipment fostering intense focus and rapid progression, often concluding quickly in groups.^[200]

U

Up Jenkins is a team-based guessing game involving a coin, typically played with alcoholic beverages as penalties for errors. Players divide into two teams seated opposite each other at a table. One team passes a coin under the table, then upon the opposing team's call of "Up Jenkins," all players raise their fists to conceal it. The guessing team then directs players to adjust hand positions—such as "up chickens" for palms up or "down chickens" for palms down—to reveal the coin's location. The team hiding the coin drinks if guessed correctly, while the guessing team drinks if incorrect; variations may include escalating drink amounts based on guess accuracy.^[201] Up the River, Down the River is a card-based drinking game using a standard deck, suitable for groups of four or more, where players receive escalating penalties based on card matches. The dealer lays out cards face-up in rows representing "up the river" (increasing penalties) and "down the river" (rewards). Round 1: Players drink for matching suits. Round 2: Drink for matching ranks. Round 3: Drink for cards one rank higher or lower. Round 4: Drink for matching color (red/black). Round 5: "Waterfall" where players chug continuously until the card holder stops. The game promotes rapid consumption, with rules varying by group but emphasizing progressive intoxication.^[202][203]

W

Wizard staff is a competitive drinking game where players consume canned beer and duct-tape each empty can atop the previous one to form an elongated "staff," with the objective of constructing the tallest staff by night's end, thereby earning the title of "wisest wizard."^[204] Participants may challenge opponents to duels by clashing staffs; the owner of the staff that breaks or drops loses and must consume a drink or additional beer.^[205] Variations include requiring players to reach a minimum staff height before dueling eligibility or incorporating spells—verbal commands like "Enlarge!" to demand an opponent drink or "Duel!" to initiate combat—with failure to respond incurring penalties such as shots of liquor.^[206] The game promotes rapid alcohol intake, often leading to high consumption rates, and is typically played in groups at parties.^[207] War is a drinking adaptation of the simple card game War, played with a standard 52-card deck divided evenly between two or more players.^[208] Players simultaneously reveal their top cards; the holder of the higher card wins both and the loser's player drinks one unit of alcohol per card lost, progressing through approximately one beer every four to five minutes in standard play.^[208] Ties trigger a "war," where players place additional face-down cards followed by revealed ones, with heightened drinking penalties—such as a full drink before resolving—for the loser.^[209] This variant emphasizes chance over skill, amplifying alcohol consumption through frequent losses.^[209]

Y

The yard of ale is a traditional English drinking challenge in which a participant attempts to consume the full contents of a specialized yard glass—approximately 1 yard (90 cm) in length and holding about 2.5 imperial pints (1.4 L) of beer—in a single, uninterrupted draft.^[210] The glass's narrow, trumpet-like shape features a small bulbous base that causes the liquid to flow slowly at the outset before accelerating rapidly as the wider sections empty, demanding careful pacing to prevent spillage, choking, or premature overflow.^[211] Participants typically stand while drinking, tilting the glass overhead, with success measured by fully draining it without setting it down or spilling significantly; failure often results in penalties such as additional drinks or forfeiture in competitive settings.^[211] This game emphasizes physical endurance and timing over strategy, distinguishing it from card- or dice-based variants.^[211] The yard glass emerged in England during the 17th century, initially employed for ceremonial toasts and displays of prowess in pubs and taverns, where its impractical design lent itself to feats of consumption rather than everyday use.^[212] A persistent legend claims the vessel originated to accommodate stagecoach drivers refilling quickly from narrow coach windows, but historical records provide no substantiation for this, suggesting instead its roots in ornamental glassware adapted for entertainment.^[213] By the 18th and 19th centuries, it featured in public houses as a test of skill, with records of competitive events where skilled drinkers completed the yard in under 20 seconds, though modern attempts often exceed this due to the beer type and glass calibration.^[214] Today, it persists in British pubs and themed events, though safety concerns over rapid alcohol intake have prompted warnings against overconsumption.^[211]

Z

Zoom Schwartz Profigliano is a fast-paced verbal drinking game played by groups seated in a circle, where participants pass an imaginary "tag" using codified commands, with alcohol consumption as the penalty for errors.^[215] The game emphasizes rapid verbal and visual cues, testing players' reflexes and memory amid rising intoxication.^[216] In the basic version, one player initiates by saying "zoom" while looking at a target, transferring the active turn to them. The recipient may then say "zoom" to pass to another player, "schwartz" while making eye contact to return it to the initiator, or "profigliano" to redirect to any other player except the initiator (without looking at the target). Fouls, such as mispronunciation, failing eye contact on "schwartz," targeting an invalid player, or hesitating, result in the offender drinking a swig of beer or similar beverage, after which they recite the core words and restart the sequence.^[215][216] Expanded rulesets incorporate up to 16 commands, including "boink" (said while looking down, continuing the chain ambiguously), "belvidere" (automatically tagging the speaker's left neighbor), and "volvo" (adding a third player to create a multi-person exchange).^[216] Fouls in these variants require majority consensus among players to enforce, preventing disputes, and the game restarts with a preamble recitation of active words. Optimal for 6-7 players to maintain engagement, it originated in university circles, with records from the early 1980s at Sheffield University.^[216][217] Rules vary by group, often starting simple and adding complexity to heighten penalties as sobriety wanes.^[215]