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Simply either move OpenAL32.dll to another directory or rename it (I ised OpenAL32.dllorg). This resollved the conflict and Mass Effect starts succesfully now.
Hope this helps others who may experience this problem.
That doesn't fix it for me. It still fails to even bring up the launcher.
Still doesn't work
The guy is beyond that.
Would you mind logging game start with procmon[technet.microsoft.com], then attach report somewhere?
Did exactly as you said - Worked. Thanks.