For all intents and purposes, Vegas Downtown Blackjack is played as regular, standard blackjack.
It towers above the other variants because two decks of cards are used for game-play, which makes it more favorable for players. It is also important to know that the cards are intermixed before a game as it ensures that game-play is always fair. You win prizes by defeating the hand of the dealer.
To accomplish this you will need a stronger hand value than the dealer, alternatively the dealer's hand can also bust. Only one hand can be wagered on by selecting a coin size that suits your budget and placing your bet.