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I usually advice doing a sound card driver re-install to reset the codecs and Stutter Remover for better memory handling.
EDIT Okay so I reinstalled my nvidia audio drivers and it didn't seem to help too much. I'd bet its a memory issue because it gets worse the more I play and the game will stutter at times and it freezes up whenever I do the hacking game, causing the broken record effect. Its annoying but I can live with it. I might try some performance mods or something that'll help with save file bloating and such. EDIT 2 So messing with the new vegas stutter remover ini file actually helped a lot for me, not totally fixed but definiately helped. EDIT 3 turning on threaded audio in Fallout_default ini file totally fixed the problem. Anyone who gets a broken record effect with the audio should try this fix.
Sorry for necroing this thread but this was the solution that worked for me as well. Appreciated.
me too thanks!
I recently had the same issue and going into the Fallout_default file and changing the bMultiThreadAudio=1 text line didn't work. Turns out it was because of my Bluetooth speaker; that is my speaker makes the audio stutter for some reason. What fixed it is that I didn't use it and just slapped on some earphones or just ran it with my normal laptop audio. Hope this helps anyone :)
I haven't tried it many times, but it has worked every time I've tried it.