Recreational amenities at the hotel include a large spa tub, two outdoor pools, and a fully-equipped fitness center. Sports fans can also use the Race and Sports Book to place bets on any of the major sporting events. It also features table games like craps, blackjack, baccarat, Pai Gow poker, and more. The casino offers a variety of games, including over 2,600 video poker, slots, and video keno machines. Sbarro, Subway and Fuddruckers provide convenient options for a casual meal, while the The Prime Rib Loft and Alder & Birch offer a more upscale experience. Guest can grab a bite with the in-room service or visit any of the15 restaurants and 6 bars/lounges located onsite.

Guest rooms are fitted with air conditioning, free Wi-Fi, flat screen TVs, and coffee-making facilities. It offers guests the best of both worlds: the lights, gambling, and location of Las Vegas alongside the attitude, cuisine, and aesthetic of New Orleans.

Located west of the Las Vegas Strip, The Orleans Hotel & Casino is a Mardi Gras-themed hotel and gaming center.