Lottery winnings are typically paid out in two ways: lump sum or annuity. A lump sum provides the winner with a single, immediate payment that is less than the advertised jackpot due to taxes and reductions. An annuity option distributes the winnings over a set period, usually 20 to 30 years, with annual payments gradually increasing. The choice between these options depends on the winner's financial goals, with the lump sum offering immediate access to funds and the annuity providing a steady income over time. Both options are subject to taxes.