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A true deffinintion of Cask Conditioned Ale as told by CAMRA( the Campaign for Real Ale- a UK based beer conaumer advocacy organization) is "Ale that is brewer from traditional ingredients, matured by secondary fermentation in the container from which it is dispensed, and served without the use of extraneous carbon dioxide" It's also called "Real Ale"- a term used originally by CAMRA.
Check out the CAMRA webpage to learn more about this genuine beverage.
Basically, this ale is what beer used to be before co2 was infused and kept at a chilling temperature.
Cask Ale actually has to be kept at 50-54 degrees Fahrenheit. This insures no chill haze, damaged casks(kegs), and that the yeast(which remains in the casks(kegs) its entire life on tap) doesn't freeze and cause off flavor or ruined beer.
Essentially the UK has held onto this traditional form of beer. However, in the States and many other Western World countries, we like ice cold, fizzy beer. We use co2 to keep it bubbly and fresh while also maintaining a 32-35 degrees Fahrenheit temperature.
Originally you can really only find it in it's birthplace of the UK. However, other states around the US have gotten more into this traditionalist form of beer consumption.
But here in Washington State, there are only two places to find it; Here at our Beer Shoppe in Yakima, WA and at Machine House Brewery(Which specialize and serve only Cask Ale), in Seattle, WA in the Georgetown District .