How to tell if someone changed their Username/DisplayName via the API?

You can use the users endpoint https://dev.twitch.tv/docs/api/reference#get-users and supply up to 100 user id’s, included in the results is their login (username). So what you could do is periodically query that endpoint with all of your user ID’s, and check if their login matches what you have in your database, if it differs then you know their username has changed.

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