diff --git a/src/audio_core/sdl_audio.cpp b/src/audio_core/sdl_audio.cpp
index 0a5ed4a65..4269b8a60 100644
--- a/src/audio_core/sdl_audio.cpp
+++ b/src/audio_core/sdl_audio.cpp
@@ -1,9 +1,8 @@
 // SPDX-FileCopyrightText: Copyright 2024 shadPS4 Emulator Project
 // SPDX-License-Identifier: GPL-2.0-or-later
 
-#include <SDL.h>
-#include "sdl_audio.h"
 #include <common/assert.h>
+#include "sdl_audio.h"
 
 namespace Audio {
 
@@ -23,21 +22,47 @@ int SDLAudio::AudioOutOpen(int type, u32 samples_num, u32 freq,
             port.samples_num = samples_num;
             port.freq = freq;
             port.format = format;
-
+            SDL_AudioFormat sampleFormat;
             switch (format) {
             case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_S16_MONO:
-            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_MONO:
+                sampleFormat = SDL_AUDIO_S16;
                 port.channels_num = 1;
+                port.sample_size = 2;
+                break;
+            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_MONO:
+                sampleFormat = SDL_AUDIO_F32;
+                port.channels_num = 1;
+                port.sample_size = 4;
                 break;
             case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_S16_STEREO:
-            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_STEREO:
+                sampleFormat = SDL_AUDIO_S16;
                 port.channels_num = 2;
+                port.sample_size = 2;
+                break;
+            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_STEREO:
+                sampleFormat = SDL_AUDIO_F32;
+                port.channels_num = 2;
+                port.sample_size = 4;
                 break;
             case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_S16_8CH:
-            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_8CH:
-            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_S16_8CH_STD:
-            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_8CH_STD:
+                sampleFormat = SDL_AUDIO_S16;
                 port.channels_num = 8;
+                port.sample_size = 2;
+                break;
+            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_8CH:
+                sampleFormat = SDL_AUDIO_F32;
+                port.channels_num = 8;
+                port.sample_size = 4;
+                break;
+            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_S16_8CH_STD:
+                sampleFormat = SDL_AUDIO_S16;
+                port.channels_num = 8;
+                port.sample_size = 2;
+                break;
+            case OrbisAudioOutParam::ORBIS_AUDIO_OUT_PARAM_FORMAT_FLOAT_8CH_STD:
+                sampleFormat = SDL_AUDIO_F32;
+                port.channels_num = 8;
+                port.sample_size = 4;
                 break;
             default:
                 UNREACHABLE_MSG("Unknown format");
@@ -46,12 +71,30 @@ int SDLAudio::AudioOutOpen(int type, u32 samples_num, u32 freq,
             for (int i = 0; i < port.channels_num; i++) {
                 port.volume[i] = Libraries::AudioOut::SCE_AUDIO_OUT_VOLUME_0DB;
             }
+
+            SDL_AudioSpec fmt;
+            SDL_zero(fmt);
+            fmt.format = sampleFormat;
+            fmt.channels = port.channels_num;
+            fmt.freq = 48000;
+            port.stream =
+                SDL_OpenAudioDeviceStream(SDL_AUDIO_DEVICE_DEFAULT_OUTPUT, &fmt, NULL, NULL);
+            SDL_ResumeAudioDevice(SDL_GetAudioStreamDevice(port.stream));
             return id + 1;
         }
-       
     }
 
     return -1; // all ports are used
 }
 
+s32 SDLAudio::AudioOutOutput(s32 handle, const void* ptr) {
+    std::scoped_lock lock{m_mutex};
+    auto& port = portsOut[handle - 1];
+    if (!port.isOpen || ptr == nullptr)
+        return 0;
+
+    return SDL_PutAudioStreamData(port.stream, ptr,
+                                  port.samples_num * port.sample_size * port.channels_num);
+}
+
 } // namespace Audio
diff --git a/src/audio_core/sdl_audio.h b/src/audio_core/sdl_audio.h
index 2cc5e7d06..f1eff066d 100644
--- a/src/audio_core/sdl_audio.h
+++ b/src/audio_core/sdl_audio.h
@@ -4,9 +4,10 @@
 #pragma once
 
 #include <mutex>
+#include <SDL.h>
+#include <core/libraries/libsceaudioout.h>
 
 #include "src/common/types.h"
-#include <core/libraries/libsceaudioout.h>
 
 namespace Audio {
 
@@ -16,17 +17,21 @@ public:
     virtual ~SDLAudio() = default;
 
     int AudioInit();
-    int AudioOutOpen(int type, u32 samples_num, u32 freq, Libraries::AudioOut::OrbisAudioOutParam format);
+    int AudioOutOpen(int type, u32 samples_num, u32 freq,
+                     Libraries::AudioOut::OrbisAudioOutParam format);
+    s32 AudioOutOutput(s32 handle, const void* ptr);
 
 private:
     struct PortOut {
         bool isOpen = false;
         int type = 0;
         u32 samples_num = 0;
+        u8 sample_size = 0;
         u32 freq = 0;
         u32 format = -1;
         int channels_num = 0;
         int volume[8] = {};
+        SDL_AudioStream* stream = nullptr;
     };
     std::mutex m_mutex;
     std::array<PortOut, 8> portsOut; // main support up to 8 ports
diff --git a/src/core/libraries/libsceaudioout.cpp b/src/core/libraries/libsceaudioout.cpp
index 429c28daf..4a48ee8f8 100644
--- a/src/core/libraries/libsceaudioout.cpp
+++ b/src/core/libraries/libsceaudioout.cpp
@@ -235,7 +235,12 @@ s32 PS4_SYSV_ABI sceAudioOutOpen(UserService::OrbisUserServiceUserId user_id,
         "AudioOutOpen id = {} port_type = {} index= {} lenght= {} sample_rate= {} param_type= {}",
         user_id, GetAudioOutPort(port_type), index, length, sample_rate,
         GetAudioOutParam(param_type));
-    return ORBIS_OK;
+    int result = audio->AudioOutOpen(port_type, length, sample_rate, param_type);
+    if (result == -1) {
+        LOG_ERROR(Lib_AudioOut, "Audio ports are full");
+        return ORBIS_AUDIO_OUT_ERROR_PORT_FULL;
+    }
+    return result;
 }
 
 int PS4_SYSV_ABI sceAudioOutOpenEx() {
@@ -243,9 +248,8 @@ int PS4_SYSV_ABI sceAudioOutOpenEx() {
     return ORBIS_OK;
 }
 
-int PS4_SYSV_ABI sceAudioOutOutput(s32 handle, const void* ptr) {
-    LOG_ERROR(Lib_AudioOut, "(STUBBED) called");
-    return ORBIS_OK;
+s32 PS4_SYSV_ABI sceAudioOutOutput(s32 handle, const void* ptr) {
+    return audio->AudioOutOutput(handle, ptr);
 }
 
 int PS4_SYSV_ABI sceAudioOutOutputs() {