Sumidagawa Red Town is a go-out style card-shedding game in which you cannot play the same number of cards as the previous player.

You lead a gang and aim to send your members into battles over territory. If you do not like your hand, you can call in a hitman. However, if you take a Hitman card, you may also be forced to exchange hands with another player. Each location determines how cards must be played, but you cannot play cards in the same way as someone else. If you cannot play all your cards, you lose one executive.