A billiard ball mixing device and wagering game provide an entertaining and enticing wagering game that utilizes billiard balls during play. The wagering game may utilize billiard balls to determine winning and losing outcomes. The mixing device may accept the billiard balls via an access point and have one or more stationary or movable agitators to mix the billiard balls, placing the balls into a random order. In one or more embodiments, the billiard balls may be removed from the mixing device preserving the random order. In this manner, winning and losing outcomes may be determined based on the randomized billiard balls.