Depending on the particular variation of Rummy, each player starts the game with a set amount of cards. The top card is positioned face-up to begin tsatta-king.he discard pile, and the remaining cards make up the draw pile. Each player takes turns drawing a card from the draw or discard pile and then discarding one card from their hand. The winner of this round is the person who is able to successfully arrange all of their cards into sets and sequences.