I have this issue with DX11 client. I do not with DX 9 but it runs like crap anymore

My current specs are
Windows 10 64bit home
AMD ryzen 5 1600x CPU
Nvidia 1660 ti GPU
Tomahawk b350 mother board

I have tried both my headset and speakers on different ports they both use the 3.5mm jacks.

I have updated my chipset, audio, and gpu drivers to most current.

I have tried lowering all settings(including video) and turn off sound effects for other players

I have set the sound bit rate to the minimum (CD), turned off audio enhancements, no other audio devices are listed or plugged in.

I ran /sfc scannow now and some other repairs in case it was an issue with my system.

As a last step I tried removing all my FFIV data and uninstalled and reinstalled to my NVME drive not restoring settings same issue.

At this point something in the code is causing a bottleneck that should not be a thing. I ordering an audio card and praying it bypasses it. Please either help or tell me a way I can send a log so an engineer can look at this