Yes, you do, that is if you want to play at a PayPal casino. If you don't have a PayPal account, you can create one for free by following the steps on this page. If you prefer a different payment method, check the casino cashier section to know what options are available. Credit and debit cards, prepaid cards, and bank transfers are some of the other ways to manage a casino account. You can also use a different e-wallet service like Neteller or Skrill.