It was built to replicate a Western town at the time it opened it was 400,000 square feet (37,000 m 2) in size with a 200-room hotel. In 2002, Boyd bought an adjacent hotel and theater owned by Isle of Capri Casinos for $7.5 million. Sam's Town expanded into the property, adding an additional hotel tower and parking garage.
As of November 2020, Sam's Town has over 700 hotel rooms in Tunica.