Just to update this, I think it just needed a clean. After cleaning the card edge with contact cleaner and doing the same to the ISA slot it works perfectly. Nice card too. To address the stereo thing, Fast Tracker 2 seems to output stereo with this card. If that can surely games can too?

That would very much suck as otherwise this system is ideal. There's always something though! I've not actually allocated any resources, I just let it go with defaults. The BIOS doesn't let you assign them per say, just certain DMA/IRQ to ISA or auto pnp. How would I go about troubleshooting that? …

This card has been waiting for a build for a while and now I finally get to use it.. I can't :( I tried the Nova 16 drivers and Orion 16 drivers in windows, neither work. After driver installation I get a "windows is restarting..." message, then an opcode error, then back into windows and no driver …