Various embodiments of the present disclosure are directed to a gaming system and method providing a Pai Gow draw poker game. For a play of a card game, the gaming system provides a player set of cards to a player and a dealer set of cards to a dealer. The gaming system enables the player and the dealer to each discard a card from their respective sets of cards. If the player discards a card from the player set, the gaming system adds a draw card to the player set. If the dealer discards a card from the dealer set, the gaming system adds a draw card to the dealer set. The gaming system then enables the player and the dealer to each form two hands using their respective sets of cards, and determines any awards based on a comparison of the player and dealer hands.