The hotel consists of 1,400 rooms and suites, a 2000-seat MGM Theater, a casino, meeting spaces, a retail promenade, 5-star spa facilities, retail stores, restaurants, and the awarded Emerald Tower, Emerald Villa, and Skylofts.

[4] Designed by Kohn Pedersen Fox Associates, it was constructed at a cost of US$3.4 billion.

Its exterior is colored gold, silver, and bronze, similar to the MGM Macau.

[6][2] The hotel's atrium, connecting the main lobby to shops and restaurants, named The Spectacle, features the world's largest[7] free-span gridshell glazed roof that is self-supporting.

[1] First mentioned in 2018, an additional south hotel tower housing approximately 1,000 rooms has been planned as part of MGM Cotai's expansion.