If pitchers' team is ahead when he leaves the game (all runners left on base that score, are charged to the pitcher that left them on base), he gets the win. The pitcher must pitch at least 5 innings in a game over 6 innings to get the win. If it is a tie game and the relieving pitcher's team wins, relieving pitcher gets the win. Otherwise he is charged with the loss. If the relieving pitcher's team is winning when he enters as a pitcher and then loses the game, the relieving pitcher is charged with a loss. If the relieving pitcher's team is winning when he enters the game as a pitcher and wins, the relieving pitcher is given a Save.
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If you started the game or the lead changes while you are pitching and ends after you leave without a lead change, you get the outcome (win or loss). If the lead changes after you leave, you get a no-decision.
Striking out all the batters works. Also not allowing more runs by your opposing team than your team gets is called a win.