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Re:SponsorBlock – Skip over sponsorship segments on YouTube by Cthulhu_ on Wednesday April 21, 2021 @05:23AM (#26887177)
Ads and sponsorships are two ways that creators can earn a living, but there's additional ones; YT subscriptions, Patreon and selling merchandise comes to mind.

Anyway the sponsors won't know (unless I'm mistaken) if a viewer skipped that segment, so the creator will get paid anyway.

Re:SponsorBlock – Skip over sponsorship segments on YouTube by chii on Wednesday April 21, 2021 @05:26AM (#26887189)
the sponsors will have metrics to measure the conversion rate from ad-rolls in their sponsored videos. They will pay initially, but over time, less and less as the ads become less and less effective.