[justaman]

The west does have anime waifu body pillows, fleshlights, hololive, and a porn addiction.

[MisterTea]

None of that offers you the ability to have a conversation with someone (camshows don't count).

[inawarminister]

Hololive does, one Hololive's mainstay, Zatsudan (Free Talk) is basically radio talk show with the interviewer being (you) the live audience. And I admit I use some Vtuber streams as replacement for impossible-to-do physical hangout in this year of pandemic.

[fomine3]

Those indicates that there are huge markets outside China.