Disorientated Sound on Sims 4

@ectobiologiist  There's a new audio driver available for your laptop:

https://www.dell.com/support/home/en-us/product-support/product/g-series-15-3500-laptop/drivers

It's worth installing it to see whether it helps.  If it doesn't, try disabling Nahimic: I think your laptop comes with it already installed, and it doesn't always work well with Sims 4.  You can just kill it in the Task Manager; it'll open again the next time you restart your computer.

If that doesn't help, try playing in a clean boot:

https://www.windowscentral.com/how-clean-boot-windows-10

After you reboot, go through the Task Manager's background processes list and shut down any app that doesn't absolutely need to be running.  For example, anything with the word Nvidia in it is critical, at least if you're planning to launch a game, but Dell's Alienware Command Center is not.  Some tasks that should be disabled in a clean boot end up running anyway, so it's important to double-check.