Disclosed herein, among other things, are systems and methods for synchronizing audio and video signals for a listening system. One aspect of the present subject matter includes a method including receiving an audio signal and a video signal from an external device. The audio signal is processed and transmitted to a hearing assistance device having a wearer. In various embodiments, the video signal is transmitted to a video display using a delay such that the audio signal and the video signal are synchronized for the wearer.