On 9 January, Okayu debuted a new 3D costume, in which she revealed in the hololive ERROR stream in her channel. This outfit is the school uniform of 20XX Aogami Highschool, which is the same as Shirakami Fubuki, Natsuiro Matsuri, Aki Rosenthal, Yukihana Lamy, and Momosuzu Nene. However, Okayu's version has a black blazer over a light brown cardigan jacket on top of the base school uniform. It is later revealed that she is Nekomiya Yuka of the Winter 20XX Aogami Highschool.
On 18 July, the members of hololive GAMERS debuted a new accessory to celebrate their third anniversary, a headband with hearts on top of it. Okayu's headband is purple.
On 31 July, Okayu debuted a new 3D costume, also revealed in the hololive ERROR stream in her channel. This outfit is the same 19XX Aogami Highschool uniform as Tokino Sora, Hoshimachi Suisei, Sakura Miko, Shirogane Noel, Shishiro Botan, and Omaru Polka. The brown "vest" on her 20XX Aogami uniform is actually a cardigan when the black blazer is removed, the cardigan can also be removed to reveal a full white uniform top akin to the summer dress code.
On 11 August, as part of the "hololive Summer 2022" event, Okayu debuted her 3D swimsuit. Unlike the original swimsuits from 2019 that had individual designs, these swimsuits are meant to be matching outfits similar to the 3D idol costumes. The swimsuits come in two types one with thin straps for the top and a diagonal cut mini skirt and the other one has ruffled straps in the top and an even mini skirt. Both version are white with various patterns including hololive's and Holoearth's logos, hearts and sparks. The swimsuits are personalized by including different colors to match each talent. Additionally they have the option to wear a hoodie.
On 23 August, continuing the "hololive Summer 2022" event, Okayu debuted her 3D yukata. Like other 3D costumes the yukatas have a variety of styles that hololive members can choose from. The yukatas come in various colors and patterns including fireworks, flowers and goldfish.
On 30 September, Okayu held her first solo concert "Okayu First Live Poisonya Syndrome" where she debuted a new 3D costume. The costume is the same as the one that appears in her album "Poisonya Syndrome." In this costume Okayu wears a black and green beret with a purple outline, the green section is meant to represent poison given its pattern something that is repeated across the outfit, to the left the beret is decorated with a purple and green rose. She uses a stylized black, purple and green top that leaves her shoulders exposed. The top has a diagonal zipper that separates the purple and green sections, to the left it has a red heart. The left sleeve is purple while the right one is half green and half see through with purple outlines. Okayu has black shorts with a see through skirt on top of it. She wears purple high socks and dark brown high boots decorated with yellow bows.
On 7 November, Okayu reached 1,500,000 subscribers on her YouTube channel, making her the 14th hololive member and also the 3rd member in GAMERS to reach this milestone.
On 22 December, Okayu debuted her 3D Santa costume. This costume also comes with reindeer accessories including its antlers and tail.