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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 is compatible with various languages. Despite its relative youth it has established itself as a top gaming platform for casinos. Its latest releases include Wolves which is a five-reel video slot that has a healthy RTP and stunning graphics. The other notable titles include Wolf Gold and Chilli Heat. The aim of pragmatic trials is to replicate real-life situations and achieve maximum validity externally. They are typically commissioned by practitioners and policy makers to aid in their decision-making. They can also be used to assess the causal relationship between an intervention with its outcomes. They should not, however, be used to replace explanation studies. The pragmatism idea is controversial, and there are questions regarding whether pragmatic trials could replace tests for explanations or if they should serve as a complement to them. Schwartz and Lellouch1 suggested the distinction between explanation trials, which validate the clinical or physiological hypothesis and pragmatic trials, which guide the policy and practice of. They also suggested the framework for pragmatic trials, which they called PRECIS.2 This tool sought to define the characteristics of a practical trial which includes recruitment, design and delivery of the intervention, as well as follow-up. There is a positive increase in the number of pragmatic trials that are published. 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 indicates that the health science community is becoming more acquaint to the subject of pragmatism. It is important to remember that the majority of these studies were conducted in primary care settings.