Solutions
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Jordan.D971's post in Issues with some Audio from RPH/ASI Plugins was marked as the answerFound the solution. Something was blocking the audio from coming through.
For anyone else that has this issue on Windows 11, install a repair version of windows. This can be done by Settings > System > Recovery > Fix Problems using Windows Update.
This will preserve all apps, files, programs but will sort out any driver issues etc.
Hope this helps others!
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Jordan.D971's post in Crashing on Startup was marked as the answerSolved. Need to run the GTAV.Exe first then launch RPH Shortly after the game starts.