It seems it was an issue with updating all ages on launch. I deleted the install, reinstalled, then unchecked that option, so it would update when joining an age, and it is now working as it should.
Edit: Nevermind, issue is back again, ran into it after running into another problem where I couldn't get the menu buttons to show up in the bottom right, tried creating a new character to see if it that would fix it, but the initial issue is back.
Edit #2: It turns out, the real issue was using Creative ALchemy to enable hardware accelerated EAX sound. Disabling it fixed everything. Very strange.