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I may already be sufficiently insane to read this. I prefer using flat pieces that won't scream and whatever, but I don't mind if it has to do the other way, since that is OK, too. It is complicated, but it seems well enough to work. Some things are not entirely clear; the document should really be improved to clarify the rules more.

Now make the variant which is mostly this game but can also use a hand of cards (drawn from a shuffled deck and hidden from opponent, and used for a few additional special actions by playing combinations properly, including to affect opponent's cards), betting, scoring, and other things. (And if you are in a manga written by Fukumoto, even betting your fingers and your blood and billions of yen, and cheating in extreme ways, and the use of double and triple bluffs and so on.)