Prairie Meadows Casino Altoona Iowa Overview 2026

Prairie Meadows sits just outside Des Moines and remains one of Iowa’s largest gaming and racing complexes. The venue combines a 24/7 casino floor, live harness racing, multiple restaurants, and a 168-room hotel, making it a convenient stop for Midwest travellers.

The casino offers more than 1,100 slots, 40 table games, a dedicated poker lounge, and a large simulcast betting area. State-regulated rules mean all machines use certified random number generators and table limits range from $5 to $500 per hand.

Slots and Progressive Jackpots

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as Wheel of Fortune and Mega Meltdown.

Floor-wide progressives link to titles such as Wheel of Fortune and Mega Meltdown. Several banked high-denomination machines ($5 and $25) sit in the VIP alcove with private beverage service. New releases from IGT, Aristocrat, and Light & Wonder arrive monthly.

Table Games and Poker Room

Blackjack, craps, and roulette dominate the
pit. Three-card poker and Ultimate Texas Hold’em
Table Games and Poker Room

Blackjack, craps, and roulette dominate the pit. Three-card poker and Ultimate Texas Hold’em round out the mix. The poker room spreads $1/$2, $2/$5, and occasional $5/$10 no-limit hold’em along with daily tournaments at noon and 7 pm.

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Hotel, Dining, and Transport

Lesson: suite rooms plus shuttle service from Des

The on-site hotel offers standard and suite rooms plus shuttle service from Des Moines airport. Dining choices include the 24-hour Café, Prime Cut Steakhouse, and a buffet overlooking the racetrack. Free surface and valet parking are provided for all guests.