Wind Creek Bethlehem is one of the original five stand-alone casinos that were awarded slots licenses by the Pennsylvania Gaming Control Board on December 20, 2006.

Casino patrons would buy the free play vouchers in bulk at a discount and use them in the video poker machines, which have a lower house advantage, and attempt to make a profit.

On March 31, 2014, in an effort to end this practice, the video poker machines at Sands stopped accepting the free play vouchers given to bus riders.

[9] On June 10, 2020, Wind Creek Bethlehem was granted approval from the Pennsylvania Gaming Control Board to offer sports betting.

Construction of the sportsbook at Wind Creek Bethlehem, which is operated by Betfred and located at the site of Buddy V's Ristorante, began around August 18, 2020 and opened on November 18, 2020.

[citation needed] The sportsbook at Wind Creek Bethlehem, which is operated by Betfred and opened on November 18, 2020, has 79 TV screens, 13 self-serve sports betting kiosks, and eight teller windows.

[18] The outlet center, which opened on November 1, 2011 and is located under the Minsi Trail Bridge, comprises 133,000 sq ft (12,400 m2) of retail space and includes a food court, near the casino entrance.

The hotel hosts the yearly Lehigh Valley Food & Wine Festival, held at the end of May/early June to benefit the culinary and hospitality program at Northampton Community College.