Systems and methods for viewer decision-based targeted commercials

Various arrangements for targeting advertising to a television viewer are presented. A user interface may be output for presentation that permits the television viewer to select from among a plurality of advertising options. One or more selections may be received from the television viewer from among the plurality of advertising options. A television program may be output for presentation to the television viewer. One or more commercials may be selected that match the one or more selections from among the plurality of advertising options. The one or more commercials that match the one or more selections from among the plurality of advertising options may be output for presentation during a first commercial break in the television program.