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PD: I'm not 100% sure, but It might seem that the stutter also happens in the main menu.
Go to your Library Right click to Left 4 Dead 2 >Click Properties> Disable in-game steam inferface.
It will both boost your FPS AND **probobly** fix your audio problem.
I tried this too, but it didn't seem to fix my problem. Frankly I don't know what else to do.
Put -autoconfig to your launch options.
This will reset the game to it's default state.
Try that.
Also try disabling subtitles.
I also have tried uninstalling Nvidia Game Ready drivers and installing the Studio ones instead. Didn't work either.