The classic American double-zero format is specifically designed to meet the preferences of the U.S. market. Unlike the European wheel, the American-style roulette wheel includes an additional pocket—the 00—which increases the total number of pockets. The sequence of numbers around the wheel also differs, which is particularly important for players who enjoy placing neighbour bets.

This version of roulette typically features lower betting limits, making it more accessible and appealing to a wider range of players. It also introduces the unique 'Five Bet' option, allowing a single chip to cover five numbers: 0, 00, 1, 2, and 3. As a result of these structural differences, the game carries a higher house edge of 5.3%, contributing to its distinct dynamic and pace of play.