I just got the game yesterday and sadly have been affected by this sound issue as well. I have 3 systems I have tried the game on, 2 run it perfectly, but one is pretty terrible. I get stuttering sound effects (regardless of the sound quality or reverb settings) and once in a game the framerate starts out ok but then quickly drops to maybe 5-8 frames a second. If I put the /nosound switch on the game shortcut everything works fine (other than sound of course). I can play all the way through a game without issue, usually keeping over 50FPS with the graphics settings on medium.
The system with the problem is my oldest computer. It's a homebuilt Athlon 64 3500+ single core, MSI RX480 Neo2-F mobo, 2 gigs of ram, 9800 GTX, and Creative Audigy ZS2 gamer running 32 bit XP SP3. It's not the fastest system but usually does a respectable job with most games if I turn the graphics quality down a bit. The system also has an integrated Realtek AC97 soundcard but I have the same problem when I try to use it.
One of my correctly working systems is a Dell XPS1530, Core 2 duo T9500 (2.6GHz), 4 gigs of ram, 8600M GT (overclocked a good bit), and integrated Intel HD audio running 32 bit Windows 7 build 7000. I can run the game at 1650x1080 with everything but AA and shadows turned all the way up and I don't have any issues in game with slowdown other than the occasional hiccup when a ton of stuff is going on.
The other system is a homebuilt Core 2 duo system with 4 gigs of ram and a 9800GT with the same Intel integrated HD audio running 32 bit XP SP3. I don't remember the exact specs of the proc and mobo (and I can't check at the moment as my brother is currently bashing the crap out of things with Rook) but it plays the game flawlessly with everything turned all the way up. I don't think I've seen it slow down at all yet.
So both of my Intel proc/intel HD audio systems run great. My AMD/Creative system pukes when sound is enabled. This makes me sad as my big comfy gaming chair is at the desk with the misbehaving system. I just got through sending my DXdiag and Demigodlog to Stardock as requested. Hopefully they will come up with a fix at some point.
@Therlun - Renaming the movies folder didn't have any effect unfortunately
I did find that changing my speaker settings from quadraphonic to stereo helped a bit but not enough to actually play well. It probably doubled my framerate though by just doing that but I still get stuttering sound.
[EDIT]
Try doing the following, it worked for me. Sorry if this was mentioned before, I did not sift carefully through all six pages.
Run: dxdiag
Go to the sound tab and move the Hardware Sound Acceleration slider all the way to the left. (No acceleration)
I just tried this and it did help. Along with setting my speaker settings to stereo it makes the game playable. I hover around 20 FPS constantly with it set like this with high quality and reverb on. The sound is a bit laggy though. I tried it on low quality with no reverb and it's actually pretty playable. Staying around 30 FPS even after I turned my video settings up to 1650x1080 and medium quality. It still doesn't run as good as it does with /nosound but we are getting somewhere 