They don’t tell you this on the whole, but there is an adfree turbo subscription: https://www.twitch.tv/turbo
"Paying" the streamer for the ad(s) being not shown due to Turbo, i.e. fractions of a cent. If you're mainly watching 1-2 streamers subscribing directly to them does more for them for almost the same money. The streamer is still only getting 50% of the sub fee but at least that's ~ $2.50 rather than a few cents per month for many hours of watched content.