Basic steps of the game are clearly explained. The description of what happens when someone goes out was initially confusing and should be re-worked. The eliminated player is referred to in the third-person (someone/they) at the start of the paragraph, but then in second-person (you) in the middle of the paragraph. At first I assumed that if one player was eliminated then (for some reason) other players shuffled and distributed their cards. Context eventually makes this clear, but using a consistent reference style (either second-person or third-person) throughout will make this obvious from the get-go.
House rules are likewise clearly expressed and should be easy to apply, for those that choose to.
See note above about 'die/dice'