In Triple Draw Lowball, players need to focus on creating the lowest possible hand, with aces being low and straights or flushes not affecting the hand's ranking. The format’s unique structure, with three opportunities to draw and improve the hand, means players must carefully balance the risk of drawing additional cards against the potential to improve their hand. Strategic decisions are influenced by factors such as the number of draws left, the betting patterns of opponents, and the likelihood of their hands improving.