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Legality Pragmatic Play has earned a name for itself by providing high-quality games and a superior user experience. Its software is accessible on mobile devices as well as in various languages. Despite its infancy it has already established itself as a premier gaming platform for casinos. Wolves is one of the most recent releases, a 5-reel slot machine with a healthy RTP and impressive graphics. Its other notable titles are Wolf Gold and Chilli Heat. Pragmatic trials are designed to replicate real-life situations and attain maximum external validity. They are usually requested by practitioners and policy makers to inform their decision making. They are also a good method of determining the causal relationship between an intervention and its outcomes. They should not, however, be used to replace explanation studies. The pragmatism concept is controversial, and there are questions about whether pragmatic trials should replace or complement them. Schwartz and Lellouch1 proposed a distinction between explanatory studies, which confirm a physiological hypothesis or clinical hypothesis, and pragmatic trials that aid in the practice and policy decision-making. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool tried to define the characteristics of a pragmatic study that includes recruitment, design, delivery of the intervention, and follow-up. There is a positive trend in the number of pragmatic trials that have been published. A recent Medline search using the terms naturalistic and pragmatic, limited to controlled trials that are randomized (RCTs) produced 34 articles, as shown in red in Figure 2. This suggests that the health sciences community has become more aware of the importance of pragmatic thinking. It is important to keep in mind that the majority of these trials were conducted in primary care settings.