There are machines that show a physical printout to the voter but the voter does not receive the paper. It remains within the machine. I know this is the case at my polling place in Missouri. I filled out a paper ballot because two of the three electronic voting machines were malfunctioning/non-operational when I voted.
>Some DREs can be equipped with Voter Verified Paper Audit Trail (VVPAT) printers that allow the voter to confirm their selections on an independent paper record before recording their votes into computer memory. This paper record is preserved and, depending on State election codes, made available in the event of an audit or recount.
-https://www.verifiedvoting.org/resources/voting-equipment/
>Some DREs can be equipped with Voter Verified Paper Audit Trail (VVPAT) printers that allow the voter to confirm their selections on an independent paper record before recording their votes into computer memory. This paper record is preserved and, depending on State election codes, made available in the event of an audit or recount. -https://www.verifiedvoting.org/resources/voting-equipment/