The only way to play Stake in the US is with a reliable VPN.\n\n You have to subscribe to a Stake gambling VPN, connect to a server where the website isn't blocked, and that's it, you can start betting.
Does Stake.us pay out? Yes and no. Stake.us doesn't pay out real money for wins on their site. They award Stake Cash, a type of virtual currency which you can collect and redeem for gift cards, cryptocurrency, and other rewards.