So I finally figured out how to get sound to the game. Some people were mentioning that the game was trying to use the HDMI drivers to play sound which got me wondering why I had a random Intel HD device it should have used my HD through the NVIDIA device. Dell/Alienware is just dumb and installed Intel HD Audio over the NVIDIA HD device. I went in disabled/uninstalled the Intel HD device and sound worked. Hooked up a HDMI cable to make sure I could still hook up to TVs and Monitors and it then goes through the NVIDIA HD device instead of the Intel one. It now uses a NVIDIA HD device instead of the Intel Device that was just in the way. Everything works great now.