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Wolves is one of the latest games which is a five-reel slot machine that has a high RTP and stunning graphics. The other notable titles include Wolf Gold and Chilli Heat. The aim of pragmatic trials is to mimic real-life situations and achieve maximum validity externally. Usually, they are commissioned by policymakers and practitioners in order to inform their decisions. They can also be used to determine the cause-effect relationship of an intervention with its outcomes. However, they shouldn't be used as a substitute for explanation trials. The concept of pragmatism is controversial, and there are questions about whether pragmatic trials should replace explanatory tests or if they should serve as an addition to them. Schwartz and Lellouch1 suggested a distinction between explanatory trials, which prove the validity of a clinical or physiological hypothesis and pragmatic trials, which guide policy and practice decisions. They also suggested an approach to pragmatic trials, dubbed PRECIS.2 This tool attempted to define the features of a pragmatic study that include the recruitment process, the design and implementation of the intervention, and monitoring. There is a positive increase in the number of pragmatic trials that have been published. A recent Medline query that used the words naturalistic and pragmatic, restricted to randomised controlled trials (RCTs) returned 34 articles. They are displayed in red on Figure 2. This is a sign that the health sciences community is becoming more sensitive to the subject of pragmatic thinking. It is important to keep in mind that the majority of these studies were conducted in primary care settings.