I have watched in excess of 100 hours of League of Legends, a game I've played for substantially longer than that. It's an easy, no brainer thing that one can do on an iPhone to relax after a hard day in the coding salt mines, and (unlike the game itself) doesn't require your undivided attention for 40 minutes.
As to what I get out of it: I don't know, similar to what people watching other people play basketball get out of that.
It also makes you better at the game you watch. So watch someone play hearthstone for a few hours and you likely be infinitely better if you are just getting started.
Watching Qtpie play League is more calming than me playing it myself. Watching Jodenstone speedrun OOT is more fun than me attempting it myself.
It's 'disrupting' the TV industry - so to speak.