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Legality Pragmatic Play is renowned for its top-quality games and for providing a superior user experience. Its software is designed to work on mobile devices and supports various languages. Despite its relative youth it has already established itself as a top gaming platform for casinos. The most recent releases include Wolves 5 reel video slot with a healthy RTP and stunning graphics. Other notable titles include Wolf Gold and Chilli Heat. The goal of pragmatic trials is to replicate real-life scenarios and to achieve maximum credibility externally. They are usually commissioned by policy makers and practitioners to aid in their decision-making. They also provide a useful way to identify the causal relationship between an intervention and its results. They should not, however, be used to replace explanatory studies. The concept of pragmatism is controversial and there are doubts regarding whether pragmatic trials could be used to replace explanation tests or if they are an addition to them. Schwartz and Lellouch1 suggested the distinction between explanation studies, which support a physiological hypothesis or clinical hypothesis, as well as pragmatic trials, that inform the practice and policy decision-making. They also suggested a framework dubbed PRECIS for pragmatic trials.2 This tool attempted to define the traits of a pragmatic study, including recruitment, design, implementation of the intervention and follow-up. The number of pragmatic trials is growing. A recent Medline search using the terms naturalistic and pragmatic, limited to controlled trials randomized to control (RCTs) produced 34 articles, which are shown in red in Figure 2. This indicates that the health sciences community has become more aware of the importance of pragmatism. However, it is important to note that the majority of these trials were conducted in primary care settings.