Historically, this deck and its games have been confined to the city of Bologna yet there are decks in France and Belgium that show traces of designs borrowed from the Tarocco Bolognese. There are also tarot games played in present-day Piedmont that show the influence of tarocchini. In most games played with the Tarocco Piemontese, players treat trump 20 higher than 21 reflecting that the Angel outranks the World in Bolognese games. There are also regional games in Piedmont where pip cards are removed and the imperial and papal trumps are treated equally. The only surviving record of a tarot game being played in Ferrara showed it to be a three-player tarocchini game. The Tarocco Bolognese is also the earliest tarot deck to be used in cartomancy, predating de Gébelin and Etteilla by at least thirty years. Due to similarities in Bolognese cartomancy and Etteilla's system, it is possible the latter learned it from some Italian source (he claimed to have been taught by a Piedmontese man named Alexis). Unlike cartomantic traditions elsewhere, Bolognese practitioners have always used the same deck as local players instead of inventing dedicated decks and do not make a pretense of a mystical origin of their pack.
