It's still happening and still very annoying to drive cars or be near fight in the city.
What I tried so far:
- Various registry changes (but this is all propably only working for linux)
- re-nicing various wine processes
- Disabling Spatial Audio and Forcing the use of Xaudio via UserSettings.json
The only thing where I at least think that i had minor improvements was by overriding xaudio2_7 and setting it to native, builtin. BUt this could be totally imaginary and also it still sucks. :/
Running out of ideas.