There is currently an issue on the Twitch dashboard in combination with the Firefox browser preventing the activation of the Sound Alerts Twitch extension. If you are using Firefox and want to activate the Sound Alerts Twitch extension please use another browser (e.g. Chrome).
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Everything you need to know about Sound Alerts can be found here.
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All about monetizing with Sound Alerts. Bits, Bits and more Bits!
Learn how to set up Sound Alerts in your streaming software correctly