FIX YOUR BROKEN WEBSITE
When on the main website, under the immediate games list (usually new or most popular), if you then click the ellipses and say NOT INTERESTED, let it disappear, and then come back an hour later- that same game SHOULD NOT APPEAR IN THE SAME LISTING for that user! Just because the game is popular (Let's use Fortnite as an example), doesn't mean I wanna watch it all the time. I've clicked NOT INTERESTED on so many games SO MANY TIMES that I (and possibly others who haven't voiced this) are tired of it all and we want it to actually work properly!
If you were to click on, as another example, Fire Emblem Fates' ellipses, and click NOT INTERESTED, you'd expect that to disappear forever, right? NOT INTERESTED doesn't mean "Show me again in an hour," it means NOT INTERESTED. It means that we don't want to see that particular game on our feed.
Conversely, if you leave a game untouched in that same manner, then by all means keep promoting that particular game. BUT ONLY TO THOSE WHO DIDN'T DO ANYTHING TO IT ON THEIR PAGE! If Persons A through X said NOT INTERESTED in a game (let's say Dredge), but persons Y and Z did nothing to it, then why should persons Y and Z dedicate A through X's timelines? If A through X doesn't want to see DREDGE on the main page because they're not interested in that game, then don't force them to keep saying NOT INTERESTED after they already did it at least 20x the past month.

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Raigh commented
2 years in and twitch didn't do anything about it?
I guess I'll post my own feedback to bring it back to their mind.If they care at all. Guessing they don't as I don't have enough money to be a meaningful voice.
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henderea commented
This also seems to happen with categories. For example, I've indicated multiple times that I'm not interested in Fortnite, but it still keeps showing up in the recommendations.
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saltyrudepotatoes commented
The "Recommendations" are just channels I've already checked out and didn't follow. It's actually silly to then recommend them to me as I've already signaled that I'm not interested.