Keith,

It doesn't matter if your thinking audio not syncing to midi or midi not syncing to audio; both ways one is not syncing to the other.

There are two adjustments. MIDI Driver window has Latency adjustment and Audio settings has Soft Synth Latency Adjust ...

The roll over pop up hint for the Soft Synth Latency Adjust ... does say it can be used to adjust the audio to match the output of an external hardware synth.

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MIDI Driver window and Audio Settings window

Jim Fogle - 2025 BiaB (Build 1128) RB (Build 5) - Ultra+ PAK
DAWs: Cakewalk Sonar - Standalone: Zoom MRS-8
Laptop: i3 Win 10, 8GB ram 500GB HDD
Desktop: i7 Win 11, 12GB ram 256GB SSD, 4 TB HDD
Music at: https://fogle622.wix.com/fogle622-audio-home