In Double Dilemma, players take turns drawing a scenario card and reading out the dilemma. A dice roll determines if the rest of the players are required to guess the decision the player will make, or if they will choose from one of the 3 multiple choice decisions listed on the card. Points are awarded for every correct prediction of the reader's decision. If a player is confident of their choice, they can choose to use the "trump" card--and receive either a bonus or a penalty, accordingly. The winner of the game is the first to reach 15 points.