Any number of people can play the Hand Game, but each team (the "hiding" team and the "guessing" team) must have one leader each. The Hand Game is played with two pairs of 'bones', each pair consisting of one plain and one striped bone. Typically ten sticks are used as counters with some variations using additional count sticks such as extra stick or "kick Stick" won by the starting team. The "raw" or "uncooked" counting sticks will be divided evenly between both opposing teams. Different rules such as which bone will be guessed, the plain or striped bone, is determined by the traditional format of the tribe or region - the plain bone or the striped bone. California, Oklahoma, and Dakota Indians generally call for the striped bone, where as most other tribes prefer to guess for the plain bone. The two teams, one "hiding" and one "guessing," sit opposite one another; two members of the "hiding" team take a pair of bones and hide them, one in each hand, while the team sings, and uses traditional instruments(drums, sticks, rattles, clappers), and attempts to distract the "guessing" team. The leader or 'Captain' of the "guessing" team, or a team member selected by the Captain, then must guess the pattern of the hidden bones. Since each hider holds one plain and one striped bone in each hand, there are initially four possibilities: both to the left, both to the right, both inside, or both outside. A gesture with a stick or hand generally accompanies each call. For each hider mis-guessed, the calling team must turn over one stick to the hiders . If a hider is guessed he must surrender the guessed bones to the calling side. The side continues hiding and singing until both pairs of bones have been guessed and surrendered. Then the teams reverse roles, and the game continues in this manner until one team holds all the sticks.
Handgame predates recorded history. The oral tradition tells us that people originally learned Handgame from the animals. Historical documentation states that games were once played for land use and female companionship, and later on for horses and cattle. Today, handgame is played during traditional gatherings, powwows, tribal celebrations, and more recently in tournaments hosted by individual tribes or Indian organizations. More recent versions of handgame played by tribes in the Northwest added an extra stick, or "kickstick"; this variation was promulgated by the Paiute medicine man Wovoka when he traveled to the Northwest to teach the Ghost Dance. Handgame bones and counting sticks have been identified in ancient anthropological digs.
- Tsong, Nichole (2010-08-21). "Traditional game unites tribes". Seattle Times Newspaper. Seattle. Retrieved 2012-04-22.
- "Judy Trejo - Stick Game Songs of the Paiute (CR-6284)". Retrieved 2012-04-22.
- Stewart Culin, Games of the North American Indian. 1907; reprint, New York: Dover Publications, 1975.
- Frances Densmore, Music of the Teton Sioux. Smithsonian Institution Bureau of American Ethnology Bulletin 61. Washington, D.C.: 1918.
- "Numaga Days celebrates games." Geralda Miller, Reno Gazette-Journal. September 2, 2004.
- Bill Rathbun, "Whatever Happened to Professor Coyote? A journey to the Heart of the Handgame", 2000, Yerba Buena Press, Berkeley.
- Bill Rathbun, "Handgame!", 1992, 1994; Yerba Buena Press, Berkeley