They stop appearing if you specifically mark them as not interested
I'd love for it to learn that anything with a shocked face thumbnail and CrAzY question for video name is not desired.
That's the problem with marking things as not-interesting. The algorithm will wildly overreact in the opposite direction.
The only thing that works for me is finding the video in my watch history that's causing the recommendations and removing it there. Often it's even something I didn't watch all the way through or even gave a thumbs-down; apparently thumbs-down also means I secretly want more of this content?
YouTube's recommendation algorithm is somehow worse than useless.
With enough time Tiktok will look as bad. I.e. I don't think it's algorithm related "for the most part"