Startup Programs > ALCFDRTM16
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Item Name: ALCFDRTM16 File Name:
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The process is a file related to the Realtek Audio Module from Realtek Semiconductor Corp. It is used to provide additional configuration options for these devices.
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The process is not an essential file to the computer system. But it is required by the third party software to function properly. It has no visible window. You should not remove it from the startup list. Otherwise, it will cause troubles to the Realtek Audio card functions. 
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RealTek related - Real-Time SPDIF-in Monitor for nVidia chipset - is it required in startup?
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