Since a couple of years, Windows 2000 and XP guests running inside VMware Workstation suffer from sound issues - in many cases, you will get a lot of stutter and distortion.
There were a couple of fixes over the years like VMAudioFixTray and VMAudioBack, but due to some changes in Windows 10/11 and current VMware Workstation releases, they mostly stopped working.
Thankfully, there's a new tool called VMAudioBackHost. Instead of running inside the guest OS, it targets the host OS directly by injecting a timing fix into the VMware process. A more in-depth explaination about the fix is provided in the project's readme.
I tried this on my Windows 11 host with VMware Workstation 17 and a Windows 2000 VM, and I can confirm that this fully fixes all sound issues.