I have now tried downloading and installing 6.8 over my current install, which did not help. Next I deleted bigbox.exe and ran the 6.7 installer, which replaced the exe but that also did not work. I then allowed it to update back to 6.8, When I did this, I heard menu scroll sound effects for the first 2 things I scrolled through, then the sound went dead again and games launched through Bigbox are still running incredibly slowly/soundless. I then uninstalled my audio drivers and installed the latest Nvidia display/audio drivers for my card, same problem.
I suppose the next logical thing to try is a fresh install with a few games added as test, then if that works, attempt to figure out what setting/file is causing my existing installation to have these problems. Unless anyone has any other ideas, It looks like I'll being doing a lot of testing tonight. I am also going to try opening up my "Cabinet" (Its a coffee table, so flip it over) and see if I can wire up a normal audio cable instead of using audio over HDMI to see if that changes anything.