Caruthersville is the newest casino building in Missouri, and understanding that is the key to reading its reviews. It rates 3.7 from more than 2,600 Google reviewers — the lowest score of any Missouri casino, and a number that mostly describes a property that no longer exists.
For nearly thirty years this was a riverboat on the Mississippi. On 1 November 2024 Century Casinos opened a new land-based casino and hotel to replace it, a $51.9 million build funded by VICI Properties. Most of the review base predates the new building, or covers the temporary floor that bridged the gap.
What's on the floor
26,000 square feet with 599 slot machines and nine live table games.
That represents roughly a 50% increase in gaming positions over the temporary casino it replaced, though it remains a small floor by Missouri standards — Ameristar Kansas City and Hollywood St. Louis both run several times the machine count.
Nine live tables is a genuine pit rather than a token one for a property this size, but it is nine tables. Check the venue's site for the current table schedule before you plan around a specific game; a room this size does not spread everything on every shift.
Hotel and dining
The new build brought 74 hotel rooms to a property that previously had none — which changes what it is. Caruthersville is in Missouri's Bootheel, a long way from anywhere, and having accommodation on site turns a drive into a stay.
Dining is a restaurant and a bar. As with the floor, the operation is sized to the property.
The casino is owned by VICI Properties and operated by Century Casinos, the Colorado group that also runs the Cape Girardeau property about ninety minutes north.
Tips before you go
You must be 21 to gamble, the minimum age at every Missouri casino.
The hours are not a straight 24-hour schedule. The floor generally runs 8am to 4am on weekdays and stays open continuously from Friday morning through Sunday night. Confirm before planning a weekday overnight session.
One practical note on the ratings: if you are weighing a visit on the Google score alone, look at the dates. Reviews from before November 2024 describe a riverboat that has been retired.
Nearby alternatives
North, Century Casino Cape Girardeau is the same operator's other Missouri property, with a larger floor and the 69-room Riverview Hotel. Further north in the St. Louis area, River City Casino and Horseshoe St. Louis are the nearest large floors.
For the full picture, see all Missouri in-person casinos.
FAQ
What are Century Casino Caruthersville's hours?
The floor generally runs 8am to 4am on weekdays and stays open continuously from Friday morning through Sunday night. Confirm with the venue before a weekday overnight visit.
How old do you have to be to gamble at Century Casino Caruthersville?
You must be 21, the minimum age at every Missouri casino.
When did the new Caruthersville casino open?
1 November 2024. The $51.9 million land-based casino and hotel replaced a riverboat that had operated on the Mississippi for nearly thirty years.
What games are available at Century Casino Caruthersville?
599 slot machines and nine live table games across 26,000 square feet. Check the venue's site for the current table schedule.
Does Century Casino Caruthersville have a hotel?
Yes — 74 rooms, added with the new land-based building in November 2024. The old riverboat property had no accommodation.
Why is Century Casino Caruthersville rated lower than other Missouri casinos?
Much of its review base predates the November 2024 building, describing the retired riverboat or the temporary floor that replaced it. Check review dates before judging the current property.
Rather play from your couch tonight? See our Missouri sweepstakes rankings.
Updated August 2026 · Details verified against Missouri Gaming Commission records and the venue's official site. Hours and offerings change — confirm before you go.
