People re-watch videos. If it's showing up in your recommendations, the recommender thinks you may act on it.
Or am I missing some research that shown novelty less effective at driving the clicks here?
Personally, I hate the YouTube recommender as well. It's particularly aggravating that I'm stuck with it and its lack of configurability even though I pay YouTube to make the ads go away, so they get no additional revenue when I watch more.
However, Netflix does many of the same things as YouTube, including autoplay, because they have found that autoplay makes you watch more, and if you watch more, you're more likely to renew your subscription.