>>531915090
That's the best one. Otherwise, try Ymir. It's a new standalone seems to run most if not all commercial games with few issues now. Bizhawk's core is just med_sat_libretro, same one in RA. You could also check RA's audio driver settings. Try WASAPI with picrel settings. Also, is it lag, or sub-60fps chop? Have you made sure the game's running at full speed? Run-ahead is very heavy on medsat, but top of the line >=Zen4 CPUs can do it.