If you have a discrete sound card, it appears that Windows 10 build 1903 update delivered another world of hurt. In a new editorial, TechPowerUp discusses the audio subsystem changes in Windows 10 May 2019 Update and how these ruined the audio experience of people with discrete audio cards. Since the update, users are experiencing a lot of stutter issues and Microsoft still hasn't been able to solve this problem for all users.
Audio stuttering and glitching, and lots of it. Think Winamp circa 1999 running on a Pentium 133 with its CPU priority toggle set to "low," and the CPU being subject to the rigors of Internet Explorer rendering Yahoo.com over a 56K PCI soft-MODEM. That bad! My AMD Ryzen 7 2700X has 8 cores and 32 GB of DDR4-2667 memory at its disposal, and yet iTunes playing back Apple Music Radio in the background with Google Chrome rendering Twitter is sufficient to send me 20 years back in time. My Intel Core i5-9400F doesn't fare any better.Full details TPU. The article also contains a temporary fix.