On November 8, 1994, a ballot proposal to allow riverboat gambling was passed by the residents of Harrison County, Indiana, following legislation passed by the General Assembly to allow such gambling in the Hoosier state.

Other amenities include a hotel, a pavilion, a showroom, two parking decks, and a golf course. The complex includes over 100,000 square feet (9,300 m 2) of gaming space, a sports betting lounge, and several restaurants. Locals often simply call it 'The Boat', a reference to the former riverboat that was the main focus of the complex. This is the closest casino to Louisville because casino gambling is not allowed in neighboring Floyd County. It is located outside the community of Elizabeth, Indiana at the Harrison County line, across the Ohio River from Louisville, Kentucky. Opened in 1998, it is owned by Vici Properties and operated by the Eastern Band of Cherokee Indians, using the Caesars name under license from Caesars Entertainment. Caesars Southern Indiana (formerly Caesars Indiana and Horseshoe Southern Indiana ) is a casino hotel in Southern Indiana.

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