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.