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Mine is set for 24bit 48000hz Studio quality and it works fine.
Just in case you're not sure how to do this:
1. Right click the little speaker icon in the System Tray and choose SOUNDS
2. Click the PLAYBACK tab
3. Right click on the active device (the one with the green check) and choose PROPERTIES
4. Click the ADVANCED tab
5. Choose the DEFAULT FORMAT from the drop down
Keep in mind this procedure usually works for ANALOG sound devices. If you're trying to configure HDMI, this procedure will probably not work however, a quick Google search produced this
https://community.intel.com/t5/Graphics/No-HDMI-Audio-in-Fallout-4/td-p/519927
Thank you for taking the time to help this OP :)
You're welcomed :)
Load the game, alt tab to desktop.
You want the speaker icon on your desktop(right corner of the taskbar)
Can't recall if it's a left or right click off the top of my head.
Worth a crack.
(I've accidently muted things before with that damn xbox game bar thing, before I removed it)
Main menu music has never worked though.
THANK YOU SO MUCH!!!!! I've been struggling for days with my audio but this worked like a charm.