You can deposit real money, play for real money, and withdraw real money if you win. Yes, there are online roulette casinos you can trust to play at for real money. However, whilst the spinning of the roulette wheel isn't exactly 'real', the results are still random. So ultimately when you're playing online roulette, you're betting against a random number generator with a pretty interface. Of course if you're playing live roulette the results of each spin are based on actual physics, but the digital versions of online roulette are simply simulations based on randomly generated numbers.