Hi, nm2345678!
Thanks for reaching out to Microsoft Community. We are sorry to learn you have issues with your Surface Book 3's sound and stating the steps you took to troubleshoot the issue. It seems that you've tried most of the steps already.
May we know if you went to https://support.microsoft.com/help/4518493/ and checked the steps suggested there?
If the same issue is still present, kindly try changing the default volume, sound effects, and the speaker configuration on the Realtek Audio App.
If this answers your question, please let our Community know by marking this post as an answer. Otherwise, don't hesitate to respond to this thread if there’s anything else that needs to be addressed.
Kind regards,
Janette_Z