I've recently setup The Suffering on my PC, patched it, also found hacked executable that gives some basic widescreen support (enables selection of any resolution, fixes field of view for wide resolutions).

This is one of those games that utilize DirectSound3D and EAX effects, so I also put Creative ALchemy's dsound.dll in the game's folder. Creative ALchemy is patched so it works with any sound card, I never owned any Creative sound card. This gives me nice positional audio in-game, but still no sign of any special sound effect. It's supposed to sound like this, you can hear reverb effect when people talk, I get nothing. Video shows PS2 version I think.

So I wonder, if anyone has any idea if it would be possible to get those effects to work somehow and also, if anyone ever played this game on some old Windows XP machine with appropriate sound card and if it worked there. I know The Suffering isn't officially supported by ALchemy, but neither are Mafia: The City of Lost Heaven (EAX 3.0) and Drakan: Order of the Flame (EAX 1.0) and they both sound fine with ALchemy. Drakan actually uses the older incarnation of the Riot Engine, which also powers The Suffering.