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A Point Spread & Over/Under bet is a combination of Point Spread and Over/Under markets where both markets must have their criteria matched for you to win.
 

For example, in a Miami at Buffalo football game, a Point Spread & Over/Under market could have the following possible outcomes to choose from:

• Buffalo -3.5 & Over 51.5

• Buffalo -3.5 & Under 51.5

• Miami +3.5 & Over 51.5

• Miami +3.5 & Under 51.5
 

The Point Spread would be Buffalo or Miami at -/+ 3.5 and the Over/Under would be 51.5.