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In the game of hearts, the meaning of the queen of spades is the equivalent of 13 hearts, or half the potential score. She is also known as "Dirty Gertie" because she can be played on someone, often at the last moment, with a low score, pushing their score (which is actually a negative score) up a significant amount, but without giving them enough to invert the score for that hand. She can also be left unplayed by the leader, who finds him/her self unable to get out of the lead, said player then getting the 13 points.

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