Study the chart below and note two differences between Pai Gow and standard poker rankings. First, Pai Gow Poker includes a joker. The joker either an ace or it completes a straight or a flush – it is not wild. Also, the highest possible straight is A-K-Q-J-10. But unlike poker, the second highest straight in Pai Gow Poker is 5-4-3-2-A.