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Legality Pragmatic Play is renowned for its top-notch games, and for providing 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 leading casino gaming platform. Wolves is one of the most recent releases that is a 5-reel slot machine that has a high RTP and stunning graphics. Other notable games include Wolf Gold and Chilli Heat. Pragmatic trials aim to mimic real-life situations and attain maximum external validity. They are typically commissioned by policymakers and practitioners to help guide their decisions. They can also be used to assess the cause-effect relationship of an intervention with its outcomes. They should, however, not be used to replace explanatory studies. The idea of pragmatism is controversial and there are doubts regarding whether pragmatic trials could be used to replace explanation tests or if they should be a complement to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which prove a physiological or clinical hypothesis as well as pragmatic trials that inform policy and practice decisions. They also proposed a framework called PRECIS for pragmatic trials.2 This tool attempted to define the elements of a pragmatic research study that includes the recruitment, design, and delivery of the intervention, and follow-up. The number of pragmatic trials is growing. A recent Medline search using the keywords naturalistic and pragmatic, which was limited to controlled trials that are randomized (RCTs), yielded 34 articles, shown in red in Figure 2. This suggests that the health sciences community is becoming more aware of the importance of pragmatic thinking. It is important to remember that the majority of these studies were conducted in primary-care settings.