Someone is chosen to go first and they draw a card from the pile.
If someone can't, they drink. The person who draws the fourth ace must drink whatever is in the middle cup, and the game ends. Once the fourth ace is drawn and the person finishes drinking the middle cup, the game is over. The middle cup gets to be very interesting when everyone is using mixed drinks, or a couple of people are drinking liquor while the rest are drinking beer. Here's where the middle cup turns into a nightmare.