Abstract: Disclosed are various embodiments for generating item recommendations based on broadcast media consumed by a user on a client device. An item recommendation application receives a quantity of media information associated with the broadcast media being consumed from the client device. The item recommendation application determines a pattern of media consumption behavior for the user based at least in part on an analysis of the user's consumption history. The item recommendation identifies other consumers of broadcast media that exhibit a substantially similar pattern of media consumption behavior. The item recommendation application then gathers items purchased by the other consumers and provides those items as the item recommendations to the requesting process.