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I have the same issue, I'm playing with an Xbox one controller on PC with KB+M disabled (it causes crashes but that's another story). It is especially annoying when I put on the face mask because his voice gets more bassy, my ears start bleeding. Switching off dialogue boost helped just a bit but not much. It is more obvioous with a face mask.
The longer I play the game (like more than 30 minutes) the more texture and mesh glitches likely to occur. It happens no matter what preset I choose, currently at medium-high settings. I tried using different launchers and reinstalling. Faces keep disappearing, textures sparkle like vampires in the sunlight, some meshes stretch as far as the horizon line, ground textures suddenly get all blurry blocky and green.
System: Windows 10 64 bit Home, AMD RX 480, Ryzen 2700x 3.7GHz 8 GB, 32 gigs of memory. Radeon driver ver. 20.11.1.