Firstly it is important to check that the Gamertag you linked to your Twitch account is the correct one. In order to resolve this please complete the below flow:
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Sign in on www.seaofthieves.com on the account that you used to link to your Twitch account
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Head to www.seaofthieves.com/profile and sever link
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Log out of the Sea of Thieves website
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Select disconnect on the Sea of Thieves connection found on this page https://www.twitch.tv/settings/connections
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Clear your internet cache
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Sign in on www.seaofthieves.com on desired account
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Head to https://www.seaofthieves.com/twitch-drops to complete sign up flow
If you don’t receive your item within 72 hours, please click the 'Raise a support request' button below for further assistance.