Would recommend trying out PipeWire[0] if you haven't already. I don't know what your sound issues are but I've had no problems since switching ~15 months ago.
Thanks a lot for this.
The problems I personally had and seen others have/had are static when no sound is played, and intermittently bluetooth audio playback issues (no sound). Also in one instance heavily distorted sound was reproducibly played when the discord notification came on.