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Its latest releases include Wolves, a 5-reel video slot with a healthy RTP and stunning graphics. Its other notable titles are Wolf Gold and Chilli Heat. Pragmatic trials are designed to replicate real-world situations and have the highest external validity. They are usually commissioned by policy makers and practitioners to guide their decision-making. They can also be a great method to determine the causality between the intervention and its effects. However, they should not, be used to replace explanatory studies. The idea of pragmatism is controversial, and there are questions about whether pragmatic trials can replace tests for explanations or if they should be an addition to them. Schwartz and Lellouch1 suggested the distinction between explanatory trials, which prove the clinical or physiological hypothesis as well as pragmatic trials that inform policy and practice decisions. 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