This game can accommodate 6 players if jokers are used. Jokers may be played at any time and they reverse the direction of the play. Jokers are not wildcards and can not be played with other cards. Dealing Variation Reverse Shithead is a variation contributed by Andrew Duthie, which includes a reverse phase where beating the previous player's card is compulsory but disadvantageous. These are the rules that I have always used playing Shithead. There are many variations possible, so this

Once you have gotten rid of all your cards- cards in hand and on the table- you have avoided losing the game. You drop out of the game. The game continues until all but one player has dropped out- that player is the loser or the shithead.This player must either deal the next hand or“make tea,” which can be anything that benefits the comfort or well-being of the group. VARIATIONS Jokers The hat also boasts an elasticated edge that means it’s an ideal fit for all the big kids who want to play! It can also be tied under the chin for ultimate hold to make sure those pesky poos don’t fall off and cost you valuable points. Shithead is a beating game in which the players try to avoid being the last to get rid of all their cards. The loser typically suffers some forfeit such as having to make the tea, or at least has the job of shuffling and dealing the next hand.By the 1990s poopy head was described in the Illinois newspaper The Pantagraph as a popular childish insult on the same level as “booger-face, butt-head and snot-brains.” When an eight is played, the direction of play is reversed (so its function is similar to that of the joker in the main description). In this variation an eight can be played on any card. Eights are transparent - when playing on an eight, you must beat the first card under it that is not an eight. If an eight is played to the empty table, it reverses the direction of play as usual, and any card can beat it. If an eight is played on a seven, it will be the person who played the seven who has play a lower or equal card (or another eight or a ten). The first person to play a 10 or complete a four of a kind, clearing away the pile, is known as the "flush" person, and has to clear away the pile each time this happens in future. Twisted Shithead is an elaborate variation in which nearly all the cards have special effects. It was created by Galbraith/Lewis/Constance/Mabely (1993); the description is by Paul JaYmes (1997).

Before poopy-head entered the lexicon, we called stupid people manure-head and shit-head. In the 1932 Broadway play The Great Magoo, one character insisted, “By God, no manure-head’s gonna stop me,”. As players run out of cards they continue playing until only one player has cards left. This player is known as the "smeg head". Norquist is not the first to speak of “calling someone a poopy head” as shorthand for political mudslinging and name-calling. A 1994 article in the Dayton Daily News also compared running negative campaign ads to calling your opponent “a big fat poopy-head.” The term first appeared in the New York Times in a similar context. In an article about how Wikipedia was protecting itself by imposing waiting periods before you could make changes, Wikipedia founder Jimmy Wales warned New York Times readers, “If someone really wants to write, ‘George Bush is a poopy head,’ you’ve got to wait four days.” The game is occasionally played to find a winner rather than a loser. In that case, the winner is the first player who manages to get rid of all their hand and table cards. This online version of Shithead was made by me. My name is Einar Egilsson and over there on the left is my current Facebook profile picture!A ten can be played on anything except an eight and causes the pile to be cleared as usual. The player of the 10 plays again to the empty table. David Driscoll reports having played Ten-Two Slide in Illinois with hands of four cards, but just the normal three cards face down and three face up for each player.