Gaming issues, strange... I have a 8738 6chan w/ Spidf&Optical and I havnt had any issues with any games yet. Ive had it up to EAX2 in hardware, A3D & OpenAL also no issues... Im now using directx9.
I just downloaded a new driver from windows update site too, so u might want to check that first too. As for noise, I wouldnt know, Ive been using the optical outputs since I had it... and my inputs are a delta1010 external.

id use the delta for gaming too, but its just not a gamin card at all....