On July 13, 2010, table games began operation.

The Hollywood Casino opened at Penn National on February 12, 2008. The following Graded events were held at Penn National in 2019. This racetrack has been under ongoing investigations through the years by the FBI for race fixing, which included people working in the race office, trainers and vets. As of 2017, this race is now the only Graded stakes race event at the track that is classified as a Grade II race with stakes of $500,000. Its first winner was three-year-old Rydilluc, which finished with a time of 1:33.99.

In 2013, the inaugural Penn Mile on turf was run. In 2009, Cardashi, ridden by jockey David Cora, won in a 29–1 upset. It features the $200,000 Pennsylvania Governor's Cup Handicap for horses three-years-old and up which run five furlongs on the turf. It is unusual among United States thoroughbred tracks in offering racing fifty-two weeks each year. It consists of a 1 mile (1.6 km) dirt course and a seven- furlong turf course. This track is also home to Eclipse Special Award winner Rapid Redux and his trainer David J. It is owned by Gaming and Leisure Properties and operated by Penn Entertainment. The Hollywood Casino at Penn National Race Course is a thoroughbred horse racing track and casino which is located in Grantville, Pennsylvania, 17 miles (27 km) east of Harrisburg.

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