One box of Heart to Heart® Cards contains 4 decks of cards. Each deck of Heart to Heart® Cards contains a total of 54 cards, 13 Spades, 13 Hearts, 13 Diamonds, 13 Clubs and 2 Jokers (Special Wish cards). Each suit of cards represents a special need. And a different issue is printed on each of the cards, with the exception of the Special Wish cards, which allow a participant to add an issue not included in the deck. There are 5 different ways to play this cards. Detail instructions are included in the package.