Playing with a card Spanish deck the highest numbers are also the To set up the pyramid, one card is dealt face up at the top of the. Pyramid is a solitaire card game with very simple rules. It takes just a few minutes to play each hand. Learn how to play here. How to Play Pyramid Solitaire. Card Layout. Pyramid is played with a single, well shuffled pack of 52 playing cards. A pyramid of cards is dealt, consisting of 21.