Systems and methods for determining outcomes for promotional messages presented to viewers using digital on-screen graphics are described. A service provider may present digital on-screen graphics on content presentation devices, which may be detected by an outcome management system. The digital on-screen graphic may be displayed in association with a primary content offering, such as a television program. The outcome management system may monitor content presentation devices, including those exposed to the digital on-screen graphic, to determine the effectiveness of the digital on-screen graphic. For instance, the outcome management system may determine whether content presentation devices exposed to the digital on-screen graphic subsequently accessed a content offering promoted therein.