Disclosed are various embodiments for identifying items that may achieve success and/or popularity. An approval user interface element can be associated with an item in a content page. Approval indications that correspond to user interactions with the approval user interface elements are obtained. An item score is maintained and adjusted based at least upon the approval indications received. The adjustment to the item score is based upon a number of received approval indications and/or a reputation score of users to which the approval indications correspond.