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in the game there's various format settings on the audio tab too, try each of them, see if one is better than the other.
I can try a wireless headset to see if its reproducible with that
Some people have had luck where they start a youtube HD video playing in a browser before they launch the game, game fires up, everything is fine (showing it's an initialization problem, it can't initialize the card directly since it's not in exclusive mode) and then once the game is playing, they alt-tab over and pause the video... crazy right? but for some it works.
happy workaround hunting, you're on the right track.