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Legality Pragmatic Play is renowned for its top-quality games and for providing a superior user experience. The software is available on mobile devices and in multiple languages. It has been recognized as one of the most popular casino gaming platforms despite its relatively young age. The latest releases include Wolves, a 5-reel video slot with a healthy 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 ordered by policymakers and practitioners to help guide their decisions. They are also a good way to identify the cause-effect relationship between an intervention and its results. However, they should not be used in lieu for explanatory trials. The idea of pragmatism is controversial and there are concerns regarding whether pragmatic trials could replace explanatory tests or if they are an addition to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which prove the validity of a clinical or physiological hypothesis and pragmatic trials, which inform policy and practice decisions. They also suggested a framework known as 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 its follow-up. The number of pragmatic trials is increasing. A recent Medline query using the keywords naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is an indication that the health sciences community is becoming more sensitive to the subject of pragmatism. It is important to remember, however, that the majority were conducted in primary-care settings.