| Affinity Gaming | Lakeside Hotel Casino | Commercial casinos | Facility license (licensed operator) | active | | HGI - Lakeside, LLC[23],[24] |
| Bally's Corporation | Bally's Marquette | Commercial casinos | Facility license (licensed operator) | active | | Casino Queen Marquette, LLC[25],[26] |
| Boyd Gaming | Diamond Jo Worth | Commercial casinos | Facility license (licensed operator) | active | | Diamond Jo Worth, LLC[27] |
| Boyd Gaming | Diamond Jo Casino | Commercial casinos | Facility license (licensed operator) | active | | Diamond Jo, LLC[28] |
| Caesars Entertainment | Harrah's Council Bluffs Casino & Hotel | Commercial casinos | Facility license (nonprofit-direct; managed by Harveys Iowa Management Company LLC) | active | | Iowa West Racing Association[29] |
| Caesars Entertainment | Horseshoe Casino Council Bluffs | Commercial casinos | Facility license (nonprofit-direct) | active | | Iowa West Racing Association[30] |
| Caesars Entertainment | Isle Casino Hotel Waterloo | Commercial casinos | Facility license (licensed operator) | active | | IOC Black Hawk County, Inc.[31],[32] |
| Caesars Entertainment | Isle of Capri - Bettendorf | Commercial casinos | Facility license (licensed operator) | active | | Isle of Capri Bettendorf, L.C.[33],[34] |
| Churchill Downs Incorporated | Hard Rock Hotel and Casino Sioux City | Commercial casinos | Facility license (licensed operator) | active | | SCE Partners, LLC[35],[36] |
| Dubuque Racing Association | Q Casino | Commercial casinos | Facility license (nonprofit-direct) | active | | Dubuque Racing Association, Ltd.[37] |
| Elite Casino Resorts | Grand Falls Casino Resort | Commercial casinos | Facility license (licensed operator) | active | | Grand Falls Casino Resort, LLC[38],[39] |
| Elite Casino Resorts | Riverside Casino and Golf Resort | Commercial casinos | Facility license (licensed operator) | active | | Riverside Casino and Golf Resort, LLC[40] |
| Elite Casino Resorts | Great River Casino Resort | Commercial casinos | Facility license (licensed operator) | active | Jan 27, 2026 | Great River Casino Resort, LLC[41],[42] |
| Elite Casino Resorts | Rhythm City Casino Resort | Commercial casinos | Facility license (licensed operator) | active | | Rhythm City Casino, LLC[43] |
| PENN Entertainment | Ameristar Casino Council Bluffs | Commercial casinos | Facility license (licensed operator) | active | | Ameristar Casino Council Bluffs, LLC[44],[45] |
| Prairie Meadows Racetrack and Casino | Prairie Meadows Racetrack & Casino | Commercial casinos | Facility license (nonprofit-direct) | active | | Prairie Meadows Racetrack and Casino, Inc.[46] |
| Wild Rose Entertainment | Wild Rose Casino & Resorts - Clinton | Commercial casinos | Facility license (licensed operator) | active | | Wild Rose Clinton, L.L.C.[47] |
| Wild Rose Entertainment | Wild Rose Casino & Resorts - Emmetsburg | Commercial casinos | Facility license (licensed operator) | active | | Wild Rose Emmetsburg, L.L.C.[48] |
| Wild Rose Entertainment | Wild Rose Casino & Resorts - Jefferson | Commercial casinos | Facility license (licensed operator) | active | | Wild Rose Jefferson, L.L.C.[49] |
| Bally's Corporation | Bally Bet | Sports (online) | Advance Deposit Sports Wagering licensee | active | | ballys-corporation · Bally's Marquette[45] |
| bet365 | bet365 | Sports (online) | Advance Deposit Sports Wagering licensee | active | | ballys-corporation · Bally's Marquette[45] |
| BetMGM | BetMGM | Sports (online) | Advance Deposit Sports Wagering licensee | active | | boyd-gaming · Diamond Jo Worth[45] |
| Caesars Entertainment | Caesars Sportsbook | Sports (online) | Advance Deposit Sports Wagering licensee | active | | caesars-entertainment · Harrah's Casino, Horseshoe Casino, Isle Casino Hotel Waterloo, Isle of Capri - Bettendorf, Prairie Meadows[45] |
| Circa Sports | Circa Sports | Sports (online) | Advance Deposit Sports Wagering licensee | active | | wild-rose-entertainment · Wild Rose Casino - Jefferson[45] |
| DraftKings | DraftKings | Sports (online) | Advance Deposit Sports Wagering licensee | active | | wild-rose-entertainment · Wild Rose Casino - Clinton, Wild Rose Casino - Emmetsburg, Wild Rose Casino - Jefferson[45] |
| Dubuque Racing Association | Q Sportsbook | Sports (online) | Advance Deposit Sports Wagering licensee | active | | dubuque-racing-association · Q Casino[45] |
| Fanatics | Fanatics Sportsbook | Sports (online) | Advance Deposit Sports Wagering licensee | active | | elite-casino-resorts · Great River Casino Resort[45] |
| FanDuel | FanDuel | Sports (online) | Advance Deposit Sports Wagering licensee | active | | boyd-gaming · Diamond Jo Casino[45] |
| Hard Rock Digital | Hard Rock Sportsbook | Sports (online) | Advance Deposit Sports Wagering licensee | active | | churchill-downs-incorporated · Hard Rock Casino (Sioux City)[45] |
| PENN Entertainment | theScore Bet | Sports (online) | Advance Deposit Sports Wagering licensee | active | Dec 1, 2025 | penn-entertainment · Ameristar Casino Council Bluffs[45] |
| Rush Street Interactive | BetRivers | Sports (online) | Advance Deposit Sports Wagering licensee | active | | wild-rose-entertainment · Wild Rose Casino - Clinton, Wild Rose Casino - Jefferson[45] |
| Sporttrade | Sporttrade | Sports (online) | Advance Deposit Sports Wagering licensee | active | | wild-rose-entertainment · Wild Rose Casino - Clinton[45] |
| PENN Entertainment | ESPN Bet | Sports (online) | Advance Deposit Sports Wagering licensee | exited (Dec 1, 2025) | Nov 14, 2023 | penn-entertainment · Ameristar Casino Council Bluffs[45] |