You do not have to keep the Immerse Gamepack app running or run it every time you launch the FFXIV game.
Once you have finished onboarding on the Immerse Gamepack app, starting a free trial or activating a license and creating a profile, you can close the Immerse Gamepack app and return to the FFXIV game settings. You can now enable Immerse Spatial Audio in your FFXIV in-game system configuration (Sound Settings).
You will only need to launch the Immerse Gamepack application to manage your license or create new HRTF profiles, or toggle between the profile to compare your HRTF profiles.
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