Best Casino Hotels in St. Louis Missouri 2026 Guide

St. Louis, Missouri, boasts vibrant casino hotels blending luxury stays with non-stop gaming excitement in 2026. From riverside resorts to urban escapes, these properties offer slots, poker rooms, shows, and fine dining. Perfect for weekend getaways or extended vacations.

Explore top-rated options with detailed amenities, room rates, and guest reviews. Whether seeking high-stakes action or family-friendly fun, St. Louis casino hotels deliver unforgettable experiences along the Mississippi.

Hollywood Casino & Hotel St. Louis

Premier destination with 2,800+ slots and 10-table poker room. Luxe rooms feature river views and spa services.
  • Nightly rates from $149
  • Multiple restaurants including steakhouse
  • Live entertainment weekly

River City Casino & Hotel

Intimate vibe with 950 slots, blackjack, and craps. Award-winning hotel emphasizes comfort and convenience.
  • Rooms from $129/night
  • Indoor pool and fitness center
  • Shuttle to downtown attractions

Pinnacle Entertainment Options

Part of Ameristar network, offering expansive gaming floors and upscale accommodations.
  • 1,900 slots and video poker
  • Buffet with 300+ seats
  • Event center for concerts

Emerging 2026 Hotspots

New developments enhancing St. Louis' casino scene with modern twists.
  • Eco-friendly suites opening Q1
  • VR gaming lounges
  • Expanded sports betting areas