diff --git a/html-src/rules/patientpairs.html b/html-src/rules/patientpairs.html
new file mode 100644
index 00000000..96328be1
--- /dev/null
+++ b/html-src/rules/patientpairs.html
@@ -0,0 +1,14 @@
+<h1>Patient Pairs</h1>
+<p>
+Pairing game type. 1 deck. No redeal.
+
+<h3>Object</h3>
+<p>
+Discard all pairs of cards of the same rank.
+
+<h3>Rules</h3>
+<p>
+Cards are dealt into thirteen piles of four cards.  Exposed
+cards of the same rank in the tableau can be removed.
+<p>
+You win when the tableau piles are all gone.
diff --git a/pysollib/gamedb.py b/pysollib/gamedb.py
index b93a1469..70f55d5f 100644
--- a/pysollib/gamedb.py
+++ b/pysollib/gamedb.py
@@ -331,7 +331,7 @@ class GI:
         # Gnome AisleRiot 2.2.0 (we have 65 out of 70 games)
         # Gnome AisleRiot 3.22.7
         #   still missing:
-        #       Hamilton, Isabel, Labyrinth, Thieves, Treize, Valentine, Wall
+        #       Hamilton, Labyrinth, Thieves, Treize, Valentine, Wall
         ("Gnome AisleRiot", (
             1, 2, 8, 9, 11, 12, 13, 19, 24, 27, 29, 31, 33, 34, 35, 36,
             38, 40, 41, 42, 43, 45, 48, 58, 65, 67, 89, 91, 92, 93, 94,
@@ -339,7 +339,7 @@ class GI:
             146, 147, 148, 200, 201, 206, 224, 225, 229, 230, 233, 257,
             258, 277, 280, 281, 282, 283, 284, 334, 384, 479, 495, 551,
             552, 553, 572, 593, 674, 700, 715, 716, 737, 772, 810, 819,
-            824, 829, 859, 22231,
+            824, 829, 859, 874, 22231,
         )),
 
         # Hoyle Card Games
@@ -547,7 +547,7 @@ class GI:
          tuple(range(22217, 22219))),
         ('fc-2.14', tuple(range(811, 827))),
         ('fc-2.15', tuple(range(827, 855)) + tuple(range(22400, 22407))),
-        ('dev', tuple(range(855, 874)))
+        ('dev', tuple(range(855, 876)))
     )
 
     # deprecated - the correct way is to or a GI.GT_XXX flag
diff --git a/pysollib/games/montecarlo.py b/pysollib/games/montecarlo.py
index f4033b0a..8462585b 100644
--- a/pysollib/games/montecarlo.py
+++ b/pysollib/games/montecarlo.py
@@ -21,6 +21,8 @@
 #
 # ---------------------------------------------------------------------------##
 
+import math
+
 from pysollib.game import Game
 from pysollib.gamedb import GI, GameInfo, registerGame
 from pysollib.hint import DefaultHint
@@ -662,21 +664,26 @@ class Vertical(Nestor):
 class TheWish(Game):
 
     FILL_STACKS_AFTER_DROP = False
+    ROWS = 8
 
     def createGame(self):
         # create layout
         l, s = Layout(self), self.s
 
         # set window
-        self.setSize(l.XM+6*l.XS, 2*l.YM+2*l.YS+6*l.YOFFSET)
+        self.setSize(l.XM + ((self.ROWS / 2) + 2) * l.XS,
+                     2 * l.YM + 2 * l.YS + 6 * l.YOFFSET)
 
+        currentrow = 0
         # create stacks
         for i in range(2):
-            for j in range(4):
-                x, y = l.XM + j*l.XS, l.YM+i*(l.YM+l.YS+3*l.YOFFSET)
-                s.rows.append(Nestor_RowStack(x, y, self,
-                                              max_move=1, max_accept=1,
-                                              dir=0, base_rank=NO_RANK))
+            for j in range(math.ceil(self.ROWS / 2)):
+                if currentrow < self.ROWS:
+                    x, y = l.XM + j*l.XS, l.YM+i*(l.YM+l.YS+3*l.YOFFSET)
+                    s.rows.append(Nestor_RowStack(x, y, self,
+                                                  max_move=1, max_accept=1,
+                                                  dir=0, base_rank=NO_RANK))
+                    currentrow += 1
 
         x, y = self.width - l.XS, l.YM
         s.talon = InitialDealTalonStack(x, y, self)
@@ -718,6 +725,15 @@ class TheWishOpen(TheWish):
     def startGame(self):
         self._startDealNumRowsAndDealSingleRow(3)
 
+
+class PatientPairs(TheWish):
+    ROWS = 13
+
+
+class PatientPairsOpen(TheWishOpen):
+    ROWS = 13
+
+
 # ************************************************************************
 # * Der letzte Monarch (The last Monarch)
 # ************************************************************************
@@ -1035,3 +1051,9 @@ registerGame(GameInfo(862, SimpleTens, "Simple Tens",
 registerGame(GameInfo(867, DoubleFourteen, "Double Fourteen",
                       GI.GT_PAIRING_TYPE | GI.GT_OPEN, 2, 0,
                       GI.SL_MOSTLY_LUCK))
+registerGame(GameInfo(874, PatientPairs, "Patient Pairs",
+                      GI.GT_PAIRING_TYPE, 1, 0, GI.SL_MOSTLY_LUCK,
+                      altnames=("Isabel",)))
+registerGame(GameInfo(875, PatientPairsOpen, "Patient Pairs (Open)",
+                      GI.GT_PAIRING_TYPE | GI.GT_OPEN, 1, 0,
+                      GI.SL_MOSTLY_SKILL, rules_filename="patientpairs.html"))