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Legality Pragmatic Play has earned a reputation for providing top-notch games and an exceptional user experience. Its software is designed to work with mobile devices and supports various languages. Despite its infancy it has established itself as a premier casino gaming platform. Its latest releases include Wolves which is a five-reel video slot that has a healthy RTP and impressive graphics. The other notable titles include Wolf Gold and Chilli Heat. The goal of pragmatic trials is to replicate real-life scenarios and to achieve maximum credibility externally. They are usually ordered by policymakers and practitioners in order to guide their decisions. They are also a good method to determine the causality between the intervention and its effects. However, they shouldn't be used as a substitute for the use of explanation trials. The concept of pragmatism is controversial and there are doubts about whether pragmatic trials can replace tests for explanations or if they are an alternative to them. Schwartz and Lellouch1 proposed an distinction between explanation-based studies, which support the validity of a physiological or clinical hypothesis, as well as pragmatic trials that aid in policy and practice decision-making. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic research study, including recruitment, design, implementation of the intervention, and follow-up. The number of pragmatic trials is increasing. A recent Medline query using the keywords pragmatic and naturalistic, which was restricted to randomised controlled trials (RCTs), returned 34 articles. They are displayed in red on Figure 2. This suggests that the health sciences community has become more aware of the importance of pragmatism. It is important to note that the majority were conducted in primary-care settings.