What is the remainder of $65!$ divided by $67$?
Attempt:
By Wilson's theorem, we have $66! = -1\mod(67) $.
$$66! = -1\mod(67) \implies 66 (65!) = -1 \mod(67)$$
and we also know that $66 = -1 \mod(67)$, then we have $$66 (65!) = -1 \mod(67) \implies -65! = -1 \mod (67)$$
so the remainder is 1. Is this the only approach?
This is the most natural approach. Since you seem to be seeking different methods I will mention a generalization (Wilson Reflection Formula) from a slightly different viewpoint.
An equivalent way to state Wilson's theorem is that any complete system of representatives of nonzero remainders mod $\,p\,$ has product $\equiv -1.\,$ In particular this is true for any sequence of $\,p\,$ consecutive integers, after removing its $\rm\color{#c00}{multiple}$ of $\,p.\,$ Thus the standard remainder sequence when left-shifted by $\,k\,$ i.e. $\,{-}k,\ldots,-1,\require{cancel}\cancel{\color{#c00}0,} 1,2,\ldots,\, p\!-\!1\!-\!k\,$ has product $\,(-1)^k k!\, (p\!-\!1\!-\!k)!\equiv -1\pmod{\!p},\, $ so
$$\qquad\qquad (p\!-\!1\!-\!k)!\, \equiv\, \dfrac{(-1)^k}{k!}\! \pmod{\!p}\qquad [\text{Wilson Reflection Formula}]$$
The OP is the special case $\, k = 1\,$ (leftshift by $1)$
Remark $\ $ The essence of Wilson's theorem is group-theoretical, so if you know a little group theory I highly recommend that you look at some prior posts on the group-theoretic viewpoint, which more clearly highlight the innate involution symmetry (negation/inversion "reflection")