Techniques are described for fulfilling an utterance request for an item represented within a video rendered at a client device. In some implementations, a user account associated with the request is identified, enabling a video stream transmitted in association with the user account at the time that the request was uttered to be identified. In one technique, a timestamp associated with the request is used to identify the relevant portion of the video stream. The item represented within the portion of the video stream can be identified using various techniques and/or information such as image recognition, metadata within the video, subtitles, closed captions, and/or a database mapping between the item and a video content item transmitted in the video stream.