The group in an experiment that does not get the treatment, providing the baseline the treated group is judged against.
Visual intuition
before
2 cases
x2
after
4 cases
Improved compared to what?
Cases jump from 2 to 4 after treatment — but a before/after jump alone cannot credit the treatment. A control group shows how much of it would have happened anyway (illustrative counts).
Example
If 60 of 100 treated patients recover but so do 55 of 100 in the control group, the treatment's real contribution is about 5 recoveries, not 60 (illustrative numbers).
How It Works
'80% of patients improved' means nothing on its own — improved compared to what? Colds pass, backs heal, moods lift. The control group answers the 'compared to what': the same kind of people, in the same study, without the treatment. Whatever happens anyway — time, placebo effects, to the — happens to the controls too, and gets subtracted from the treatment's apparent success.