PulseAudio gets pushed as a mandatory component of the audio stack. Alas, it too often fails to work on systems where plain ALSA works perfectly.

In the past, Pulse had the advantage of software mixing, but ALSA can do that for over a decade.

Here's an example of PA corrupting sound: The song was played via Clementine, although other players I tried (mplayer, ...) also exhibit the same problem. The output was then sent over a 3.5mm jack to 3.5mm jack cable to another computer and recorded. Recording was done pretty inadequately — without even good volume control (ALSA version in particular was recorded too loud, leading to some noise), sorry for that. The problem with Pulse is still clearly audible.
In this particular case (my desktop), I found a workaround: instead of the perfectly working (with ALSA) sound card, I bought an €1 USB dongle; it lets me use Pulse-requiring programs without flaky emulation such as apulse. That's not a real option on a laptop or phone, though.
Other cases on my personal machines: