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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 can be used on mobile devices as well as in various languages. Despite its infancy, it has already established itself as a premier casino gaming platform. The latest releases include Wolves 5 reel video slot that has a healthy RTP and impressive graphics. Other notable titles include Wolf Gold and Chilli Heat. The goal of pragmatic trials is to mimic real-life situations and achieve maximum validity externally. They are usually commissioned by policymakers and practitioners to help guide their decisions. They can be used to determine the causal relationship between an intervention and its effects. However, they shouldn't be used to substitute for explanation studies. The concept of pragmatism is controversial and there are concerns about whether pragmatic trials can replace tests for explanations or if they should be an alternative to them. Schwartz and Lellouch1 proposed the distinction between explanation 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 suggested a framework dubbed PRECIS for pragmatic trials.2 This tool attempted to define the traits of a practical study that includes recruitment, design, implementation of the intervention and follow-up. The number of pragmatic trials is growing. A recent Medline search using the words pragmatic and naturalistic, limited to randomised controlled trials (RCTs) returned 34 articles. These are highlighted in red on Figure 2. This indicates that the health sciences community has become more aware of the importance of pragmatism. It is important to note that the majority of these trials were conducted in primary care settings.