This badge used to be rewarded for people who Cheered in a Charity Channel with #Charity in the message.

This badge was also rewarded for people who Supported their favorite streamer during the 2018 Blizzard of Bits

Direct Relief is a humanitarian aid organization, active in all 50 states and more than 80 countries, with a mission to improve the health and lives of people affected by poverty or emergencies – without regard to politics, religion, or ability to pay.

This badge is unobtainable at the moment as there are no Charity Streams for this specific Charity.

https://www.directrelief.org/