Following a high-profile deepfake scandal in January 2023, Twitch established explicit policies banning synthetic non-consensual exploitative images (NCEI) and updated its automated enforcement systems to detect and remove such content, with first-offense indefinite suspension.

In January 2023, streamer Atrioc accidentally revealed deepfake pornographic images of fellow streamers during a broadcast, prompting widespread outrage. Twitch responded on March 7, 2023 with updated Community Guidelines: intentionally promoting, creating, or sharing synthetic NCEI results in indefinite suspension on the first offense. witch uses the term "synthetic NCEI" rather than "deepfake" to emphasize the non-consensual nature. The company consulted with the Cyber Civil Rights Initiative and UK Revenge Porn Helpline. In H2 2024, Twitch's transparency report shows automated and proactive detection systems working in tandem with user reports across all content categories, including nudity and exploitation.