Players then take turns drawing a card from the player on their left. At the beginning of the game, all players receive an equal number of cards. The aim of the game is to avoid holding the “Old Maid” card by the end of the game. Old Maid is a simple card game played with a standard deck of 52 cards. Frequently Asked Questions: Old Maid Card Game.What is the best strategy for winning at Old Maid?.What are some other variations of Old Maid?.