Sexual attraction and frustration, sure. Also loneliness, loss of community, loss of purpose, loss of meaning.
Maybe not every guy who watches her is like that, but some definitely are. I would especially be concerned for those who watch her consistently and donate large amounts of money to her. But I feel the same way about anyone who watches a lot of streamers and donates a lot of money (relative to their own income of course).
Parasocial relationships are a deeply concerning development.