Why do I have so many options for my Headset / Mic?

But none of them seem to work together. If I pick whatever for Output, either it doesn't work or it disable Input from working. And same for vice-versa. Some of them even completely disables the Game's sounds. It's been fine automatically selecting whatever is working so I never had to deal with it but today and on some random days it just completely doesn't work and is a jumbled mess. IDK what to do. All the choices are so confusing and don't make sense to me.

Basically, I just want to hear my teammates and be able to talk to them without either one disabling the other.
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