Using pipewire (and pipe-alsa libraries/plugins) and audio set to ALSA (see reports below on how) it works good. RSASIO installed but not being set as audio by winetricks. I chose not to use it so i removed avrt.dll which is not ideal but doesn't seem to cause any issues. No noticable delay nor distortion. Firefox seems to break the games audio so that no output device is detected, I believe it to be because the pulseaudio daemon (which is required for firefox?) is running at the same time.

In pauv disable the rocksmith adapter and use default output (I had two for some reason? I chose the one with the less detailed name and it worked).

CDLC shows up, D3DX9_42 might need to be imported into winetricks libraries as native (I did native then builtin). My game freezes when loading CDLC but that may just be because of me copying the CDLC from an NTFS drive. Can't be bothered to check now.