Foursomes can be played as match play or stroke play. Fourball: defined in Rules 30 and 31, this is also played between two teams of two players each, but every player plays their own ball and for each team, the lower score on each hole counts.

One point is given for each bocce ball that is closer to the pallino than the opposing team's bocce balls. The pallino distance marker can be used to determine which balls are closer. The game continues until 12 points have been scored or to pre-determined points set by the players before the game starts.