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For reference, my audio also completely cuts out after loading past the Bethesda logo. Only can hear SOME ambient game sounds and echoes.
Game has has issues ever since launch with those. Unlikely they will ever be fixed 4+ years later. Some people can use them just fine but many have major issues. Game sound cutting out except for menu sounds is one of them but there are others. I stopped using my bluetooth headphones and went back to my wired Beyerdynamic TYGR 300Rs and never had another issue.
It also from my experience cannot handle you unplugging or changing anything audio wise after the game is running. Set it before you start the game and then leave it alone while you play. Unless it isn't working at all then leaving it alone is not going to do much obviously.
Not sure what you mean exactly. If your graphics card is causing your sound to cut out i would check where things have been plugged in inside your PC. That does not make any sense. Your GPU does not do anything for sound. If your PC is overheating to the point of causing your sound to cut out that is very serious.
If you are talking about the footsteps and certain gun sounds cutting out or getting really soft and then returning later, that is perfectly normal for this game. Had it happen on every single PC I have ever played the game on. Both with AMD and Intel CPU and also both Nvidia and AMD/ATI GPU as well.
Any fix? I am running the same gear and having the same issues