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You could try disabling any 3d sound setting in Vice City. It looks like Vice City uses echo and when it crashes it doesn't get reset to the original sound. I had the same thing with my SB Live, and was able to fix it after a crash by running the Creative Soundmixer and selecting "none" under the option where you can choose sound settings for "rock concert", "garage", "cathedral" etc. I can't look it up right now but that fixed it for me without rebooting.
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