The fifth Sam's Town opened in May 2004 after Boyd Gaming acquired an existing property in Shreveport, Louisiana, from Harrah's Entertainment. It was branded as Sam's Town Gambling Hall, Kansas City. The fourth Sam's Town was a riverboat casino that operated in Kansas City, Missouri, from September 1995 until July 1998. Branded as Sam's Town Hotel and Gambling Hall, Tunica, as of November 2020 it has over 700 hotel rooms. It was expanded after Boyd Gaming bought an adjacent property in 2002. The third Sam's Town opened in 1994 in Tunica Resorts, Mississippi.

Since then, the facility has changed names and owners as of November 2020, it operates as Laughlin River Lodge. Originally branded as Sam's Town Gold River, it was later shortened to Gold River and was operated by Boyd Gaming until March 1991. The second Sam's Town opened in 1984 in Laughlin, Nevada. As of November 2020, the facility includes 645 hotel rooms. Branded as Sam's Town Hotel and Gambling Hall, Las Vegas, it has undergone several expansions, including an 18-screen theatre added in 2000. The first Sam's Town opened in the Las Vegas Valley in Sunrise Manor, Nevada, on April 1, 1979. Five properties have carried the Sam's Town name three remain owned and operated by Boyd Gaming. Sam's Town Hotel and Gambling Hall, commonly shortened to Sam's Town, is a casino brand owned by Boyd Gaming, named after its founder, Sam Boyd (1910–1993).