Video poker first became commercially viable when it became economical to combine a television-like monitor with a solid state central processing unit. The earliest models appeared at the same time as the first personal computers were produced, in the mid-1970s, although they were primitive by today's standards.

Video poker became more firmly established when SIRCOMA, which stood for Si Redd's Coin Machines, and which evolved over time to become International Game Technology, introduced Draw Poker in 1979. Throughout the 1980s, video poker became increasingly popular in casinos, as people found the devices less intimidating than playing table games.

Today video poker enjoys a prominent place on the gaming floors of many casinos. The game is especially popular with Las Vegas locals, who tend to patronize locals casinos off the Las Vegas Strip. These local casinos often offer lower denomination machines or better odds, although this was more common in the 1990s as casinos across the country have recently been cutting their paytables and/or only offering 25 cent machines or higher.