They have paper trails for every vote.
From what I've read, there are some states/localities that have paper ballots they can check, including swing states like Georgia, where they did audit that exact thing.
But then there are other states that do not keep the paper trail, most of which went "red" according to an article I read but did not verify.
https://ballotpedia.org/Voting_methods_and_equipment_by_stat...
"Currently only one state — Louisiana — keeps no paper trail of votes at all. Counties in eight states — Indiana, Kansas, Kentucky, Mississippi, New Jersey, Oklahoma, Tennessee and Texas — use a hybrid system" where some, but not all votes will have a paper trail.
(from https://madison.com/on-paper-ballots-for-the-2020-election/a...)