I would really recommend finding a way to export the game as .exe or even better as .html. It wasn't a problem for me personally, but I bet you would get a lot more players if you did. I think it's really cool that you made the game in pygame, as it's something I have been wanting to try for some time, did you enjoy working with it?
Now, the idea of Tarot cards having two ways of being used is really cool, but I wish I could choose which side to use. Usually when I lost, it was because I drew too many swords upside down (or maybe I am just a scrub, lmao), which was quite frustrating. Maybe let the player pay health to flip a card upside down? This would add some additional strategy and make the player feel more in control.
Computer card games usually draw the card automatically (I think), but imho it was a good decision to keep it manual, as it worked very well with the time limit, creating a stressful atmosphere, which I feel was your goal.
The visual side obviously needs some work, but I enjoyed the gameplay, even though I only ever got to the third level.