The hotel's expansive casino contains over 3,000 slot machines, a variety of table games, a 125-seat race and sports book, a 35-table poker room, and a 24-hour keno lounge. The Orleans Arena plays host to numerous sporting events, concerts, and headline entertainers. Smaller shows and events are located in the Orleans Showroom.

The 70-lane bowling center has a pro shop, a complete line of bowling equipment, a bar, and a video arcade. Other amenities include the business center, movie theater, Kid's Tyme Child Care Center (complete with a jungle gym, and arts & crafts sessions), Time Out Arcade, two wine shops, a seasonal outdoor pool, lounging pool, whirlpool, free valet parking, 24-hour room service, and free shuttles to the Strip.

Dining options include steak and seafood at Canal Street, the Prime Rib Loft, Big Al's Oyster Bar, international cuisine at the French Market Buffet, Mexican fare at Don Miguel's, the 24-hour Courtyard Cafe coffee shop, Italian cuisine at Sazio, Chinese and Japanese food at Koji, a T. Friday's, Brendan's Irish Pub, sandwiches at Terrible Mike's, Kate's Korner ice cream parlor, Seattle's Best, and a Subway.