Best St. Louis Casinos: Top 2026 Rankings
St. Louis area shines with top casinos in 2026. From riverboats to resorts, find slots, tables, and entertainment. Our list ranks the best by games, amenities, and value.
Hollywood Casino St. Louis
Amphitheatre Amphitheatre, 2,500+ slots, 70 tables. 24/7 action.
- Best poker room
- Live music weekly
- Player rewards excel
River City Casino
1,900 slots, 60 tables, Argosy Cruises vibe. Waterfront dining.
- High-limit salon
- Buffet favorites
- Shuttle service
Casino Queen (Illinois Side)
Docked riverboat, 1,000 slots, friendly vibe. Quick Eads Bridge access.
- $5 tables common
- Promos daily
- St. Louis skyline views
Century Casino Cape Girardeau
900 slots, 20 tables, golf nearby. Modern expansion.
- Non-smoking area
- Steakhouse gem
- Events center
Bally's Casino St. Louis (Opening Soon)
New 2026 build with 3,100 slots planned.
- Urban location
- Sportsbook focus
- Rooftop bar
Emerging Options
Watch for tribal expansions.
- Shooting Star (future)
- Online tie-ins
Frequently Asked Questions
Largest St. Louis casino?
Hollywood with 210K sq ft gaming.
Smoke-free options?
Century has dedicated areas; others ventilated.
Best for poker?
Hollywood's 30-table room tournaments.