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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 can be used on mobile devices and in multiple languages. Despite its relative youth it has established itself as a premier gaming platform for casinos. Wolves is one of the latest games that is a 5-reel slot machine with a hefty RTP and impressive graphics. Other notable titles include Wolf Gold and Chilli Heat. Pragmatic trials aim to mimic real-world situations and have the highest external validity. They are usually ordered by policymakers and practitioners in order to inform their decisions. They also provide a useful way to identify the causal relationship between an intervention and its results. However, they shouldn't be used to substitute for explanation trials. The pragmatism idea is controversial and there are concerns about whether pragmatic trials should replace explanatory tests or if they should serve as an addition to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which confirm the validity of a clinical or physiological hypothesis and pragmatic trials, which guide the practice and policy decisions. They also proposed the framework for pragmatic trials, dubbed PRECIS.2 This tool attempted to define the characteristics of a pragmatic trial that include the recruitment process, the design and delivery of the intervention, as well as the follow-up. There is an encouraging increase in the number pragmatic trials that have been published. A recent Medline search using the keywords pragmatic and naturalistic, restricted to controlled trials randomized to control (RCTs) produced 34 articles, shown in red in Figure 2. This is a sign that the health sciences community is becoming more sensitive to the issue of pragmatism. It is important to keep in mind that the majority of these studies were conducted in primary care settings.