Casinos typically pay winnings of less than $25,000 by cash or check. They may disburse larger winnings either as a lump sum or as an annuity. Some casinos won't allow you to choose how to receive winnings.

Yes, brick-and-mortar casinos continue to pay out winnings primarily in cash or via a "TITO" (Ticket-In, Ticket-Out) system. When you win at a slot machine or table game, you typically receive a paper voucher that can be redeemed for physical currency at an automated kiosk or the "Cage" (cashier). For very large jackpots (usually over $1,200 in the U.S.), federal law requires the casino to document the win for tax purposes, often resulting in a "hand pay" where an attendant brings you the cash or a check. In 2026, many casinos are also integrating digital wallets and cashless gaming, allowing you to transfer winnings directly to a linked bank account or mobile app. However, if you are playing at an online casino, payouts are never in physical cash; they are processed via bank transfers, e-wallets, or cryptocurrency, often requiring a 24–48 hour verification period.