Spoons is a game of speed, dexterity, luck and spite. The first thing you need to do is get everyone a big glass of beer. Then place some spoons equal to the number of players MINUS ONE in a pile in the middle of the table. I find metal spoons work best, and it adds difficulty if they are placed on top of one another or in a daisy chain fasion.
Next deal out a number of cards. It isn't really important how many, but I have found that five to seven is best, depending on the number of players.
The dealer begins by drawing a card from the deck and either keeping it and discarding one from his hand or passing it on to the player at his right. The next player in line then looks at the card and does the same. Cards are passed completely around the table as many times as it takes.
The object of the game is to be the first one player to obtain four-of-a-kind. Once someone has it he draws one spoon from the pile. As soon as one person draws a spoon everyone else must draw a spoon immediately, despite their hand. Naturally since there is one less spoon than there are players, someone will not get a spoon and they must drink whetever the designated quantity is. The deal is then passed to the "loser."
Penalty drinks are levied against anyone who is caught with more than the original number of cards in their hand at any time during the game, or if someone is obviously ignoring the cards and watching the spoons.
This game is best when played very fast, especially after the players have had a few beers already. If cards begin to pile up in front of a player it is perfectly legal to steal them from him. This encourages players to think fast.
A couple other things make this game even more fun:
If you get the four-of-a-kind take the spoon VERY descretely. Most players are so intent on their cards they completely miss it.
If you are especially spitefull, smash the spoons all over the place when you draw. This creates a mad rush to grab spoons off the floor and out from under chairs (and people). Be carefull, though, if you spill a beer you get a beer-foul penalty.