You cannot see what is coming next
There is no preview box here, and that single omission changes how the game has to be played. In most versions of this puzzle you can see the next piece, which is what makes long-term planning possible - you leave a narrow well open on the right because you know the straight piece is arriving, and you commit to it safely.
Without that information, keeping a well open is a bet rather than a plan. You are holding a column empty on the hope that the one shape which fits it turns up before the rest of your stack becomes unmanageable, and roughly six times out of seven the next piece is not that shape.
In practice it pushes you toward a flatter, more conservative style. Rather than building for a four-line clear you cannot schedule, the reliable approach is keeping the surface as level as you can and taking single rows whenever they are available. It is less dramatic and it lasts considerably longer.