In the middle of the table, place however many spoons is one less than the number of players you have. For example, if you're playing with 6 people, use 5 spoons. Have the dealer keep the deck next to them. The person to the right of the dealer, however, should put one of their cards down on the table to start the discard pile, while the dealer picks up a new card. You do not have to exchange cards with the card you are given, if you do not want to. Instead, just pass the card you received on to the player to your left. Each round the dealer should pick up a new card and the person to their right should add to the discard pile, so as to have a continuous influx of new cards. All players continue to circulate cards. It usually goes pretty quickly, and can be tough to keep track of! This is intentional, and makes the game more fun. all 4 aces or all 4 nines) has to pick up a spoon. Following this, all other players need to do the same, with the slowest person left without a spoon and out of the game. It can be easy to get caught up in trying to get your own four of a kind — try to pay attention to other people's movements as well as your hand. So if the first round had 6 players and 5 spoons, the second round would consist of 5 players and 4 spoons. Continue playing until you're left with a single person, who is the winner.

Summary:
Count your players. Shuffle a standard 52-card deck and deal 4 cards to each person. Have everyone take one of their cards and discard it to their left simultaneously. Repeat this process of everyone passing to the left. The first person to have 4 of a kind (e.g. Make sure to grab a spoon as soon as you notice one missing. Remove a spoon every time you remove a player from the game.