Quick Answer:
Entropy is introduced into computer algorithms to kick off a deterministic sequence of numbers which are generated by clever computer algorithms, then fitted to the distribution curve the user asked for e.g. rand(1,10) could internally produce numbers from 0.0 to 0.9999 but needs to map to 1 through 10.
. Because it is difficult to know what that Entropy was, it makes determining the numbers more difficult, thus the pseudo-random generator description. In Statistics we learn that flipping a coin 100 times may not result in 50 Heads and 50 Tails, nor should it as coin flips don't work that way. However, it's a good example. The probability works assuming an infinite number of iterations along an even distribution. It is possible Heads will show 100 times, 1000 times, 10,000 times in a row. It's possible, not likely but possible. An algorithm which simulates randomness is under no obligation to ensure that a 0 is returned IF a 0 was among the list of possible answers. It only needs to ensure it's possible.
General Answer
Most computer generated random numbers are pseudo-random.
As you've eluded to in your question, computers cannot simulate true randomness; all random algorithms generate random numbers deterministically; meaning if one knows the initial seed of the algorithm, the entropy used by the algorithm, and which iteration the algorithm was in, the 'random' number can be determined. True randomness can only be achieved by observing the outcome of a random event, which may be the physical nature of computer components or other phenomena.
One could argue that natural randomness is not in reality random but just an unknown sequence of events. Not unknowable (i.e. Entropy), but just currently unknown. It is only unknown (random) because we are unable to explain or predict it, at this time, due to insufficient advancement in technology or knowledge. There is true Chaotic Entropy, but unless we're talking about Quantum Computers, it doesn't matter. For the purposes of most applicable software applications a very good Pseudo RNG is all that's required.
Given a period of time 1,000 years ago we could say the ocean was prone to random Tsunami's. Now we have more advance technology and understanding that we can create prediction models. These prediction models become more accurate as we enter more information about all the events which would lead to a Tsunami.
The part that is difficult for a computer to simulate is Entropy. Entropy is, at it's simplest, randomness. When generating a tuple of prime numbers often times the algorithm being used to create a series of random numbers will collect Entropy from outside sources; moving your mouse, electrical noise, 'noise' collected from an antenna such as the built in WiFi or Bluetooth. Entropy is the key to creating a good set of simulate random numbers.
Even with all the advancements we have in collecting entropy, a machine can still be induced to generate a specific set of entropy, which then would allow an attacked to accurately predict the numbers being generated. If the algorithm collects noise from a microphone, they can create a loud and predictable noise at the right time in order to influence the sequence of numbers which will be generated later. The same can be said of all the other forms of gathering Entropy.
A simple way to get true randomness is to use Random.org.
The randomness comes from atmospheric noise, which for many purposes
is better than the pseudo-random number algorithms typically used in
computer programs.