I think the general premise is you launch a ball slightly similar to how an old pinball machine works then the ball falls downwards bouncing off a lot tiny metal pins. The player usually hopes the ball lands in certain catching spots that offer pay outs. I actually always thought it was random luck but I have read stories about professional Pachinko players before.
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That is the basic premise. A lot of games these days, in Japan anyway, have stories and animations connected to them with special chances and challenges, etc. I've only tried playing a few times, but it was beyond me.