Tilted TV mounts work much like a fixed mount but provide the option to change your viewing angle. This will come in handy in areas where lighting may change throughout the day. Also, in an area where you change your viewing distance. In an open home you may be seated directly in front of a TV where you will want the screen tilted down to you. In that same home you may be across the room in the kitchen preparing dinner. In this case you could tilt the TV up to provide a better viewing angle from that longer distance. Tilt television mounts sometimes come with the ability to extend outwards also. All of these options can be discussed when preparing your project.