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In Balatro, you play various poker hands to score points. Apart from standard poker hands, there are some non-conventional ones which are not possible with a standard deck of cards. These are Five of a Kind, Flush House and Flush Five. Perhaps due to the amount of deck manipulation to achieve it, Flush Five boasts the highest base Chip and Mult, as well as the highest Chip scaling and Mult scaling of all the hands.

Poker hands are improved by Planet cards. These Planet cards are based on various planets and dwarf planets from our Solar system, each improving the score of a specific hand type. There is also Planet X, which is based on the speculated planet that is beyond Neptune. The most elusive Planet card, that appears rarely when opening Planet packs, is the Black Hole, which increases the score of all hand types.