This issue is really odd, as soon as I start the game up the audio is like this and has been for awhile. It is persistent as I have tried to delete the game and reinstall the game but the audio just stays like that. The audio is broken in the menu and in worlds and its very painful which hinders game play since I can't even play without having a headache. I don't know of a way to reproduce this as it just occurred out of nowhere when I loaded the game up. This affects audio no matter if you're playing in a world with any game mode or just in the main menu. This has nothing to do with my audio setup as this is the only game I know which has this issue