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Legality Pragmatic Play has earned a name for itself by providing top-notch games and an exceptional user experience. Its software is designed to work on mobile devices and supports various languages. Despite its relatively young age it has established itself as a leading gaming platform for casinos. The latest releases include Wolves which is a five-reel video slot with a healthful RTP and stunning graphics. Other notable titles include Wolf Gold and Chilli Heat. Pragmatic trials aim to mimic real-world situations and have the highest external validity. Usually, they are ordered by policymakers and practitioners to guide their decisions. They can also be used to determine the causality of an intervention and its effects. However, they shouldn't be used in lieu for the use of explanation studies. The idea of pragmatism is controversial and there are concerns about whether pragmatic trials can replace explanatory tests or if they are an alternative to them. Schwartz and Lellouch1 suggested an distinction between explanation-based studies, which confirm a physiological hypothesis or clinical hypothesis, as well as pragmatic trials that aid in the decision-making process for policy and practice. They also suggested a framework for pragmatic trials, dubbed PRECIS.2 This tool sought to define the features of a practical trial, including the recruitment process, the design and delivery of the intervention, as well as monitoring. There is a positive increase in the number pragmatic trials that are published. A recent Medline search using the keywords pragmatic and naturalistic, restricted to randomized controlled trials (RCTs) resulted in 34 articles, which are shown in red in Figure 2. This indicates that the health science community is becoming increasingly sensitized to the issue of pragmatic thinking. It is important to remember, however, that the majority of studies were conducted in primary-care settings.