I prefer to use the term scripted, like anyone else who actually knows their stuff when it comes to professional wrestling. In simple context, yes the winners and losers are pre-determined but the ring isn't a trampoline, so when they jump off 20ft ladders and cages onto the ring mat or the floor they CAN get seriously injured. Wrestlers are the toughest athletes in the world both mentally and physically, disagree with me? Come back and tell me when yank football players, rugby players, fighters etc work every day all year round across the world. It's neither real or fake, it's scripted entertainment, hope that answers your question.