I was considering getting YouTube Premium, but then I realized that it wouldn't work while incognito. I very often open videos in private tabs so it doesn't destroy my recommendations, so I'd still need an adblocker.
in youtube history settings you can turn off history recording while you binge on trash content, and if you forget, you can remove it from the list in history. the setting persists across sessions and devices. note that this is different from the incognito setting which does turn ads back on...