- stream usage
- Deaf/HoH streamers use it in their channel branding or stream overlays.
- emote mapping
- Custom channel emote for streamers who are part of the deaf/HoH community.
- chat meaning
- Chatters spam it when a streamer misses something said in chat or in-game audio.
- clip context
- Clips of streamers reacting to hearing situations are sometimes tagged with this emoji.
- subscriber context
- Some HoH streamers offer it as a subscriber badge tier to build community identity.