From the back of the box:

You're in Trouble!...No! You're in DOUBLE TROUBLE! In fact, you've got a whole handful of DOUBLE TROUBLE!--"Bad News!" cards, "Double Trouble" cards, and a bunch of other penalty cards - All against you!

Quick! Dump your Trouble cards - On The Double! - By playing two at a time. Then dump even more by PASSING them to your opponents. Be first to go out (and WIN!), sticking your opponents with DOUBLE TROUBLE if you can.

Player Summary:

Playing cards by number and color (similar to Uno), the player to get rid of all of their cards first wins the round. An extra effort must be made to hand off certain 'Trouble' cards to other players that will count against their score if they're not able to get rid of them. After a number of rounds, the first player to reach a pre-determined score wins the game.

The game comes with a special deck of 108 cards:
- 9 WILD cards
- Three suits of cards (red, green, yellow) each containing:
* 18 color cards
* two BAD NEWS cards
* two DOUBLE TROUBLE cards
* two PASS BASH! cards
* three PASS cards
* three PASS RIGHT cards
* three PASS LEFT cards