One time only, you may draw a card from the middle (or bottom) one of the piles.

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The cards in the Tableau may be shuffled, and redealt, but only twice.

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Build down by suit.  Cards may only be moved one at a time.   Spaces may not be filled at all.

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Build up by suit, from Ace to King.  The four Aces are initially dealt here.

Move all the cards to the 4 foundation piles (top).