Plex For Windows Audio Issues (Dolby TrueHD Passthrough)

When you are only seeing this behavior with truehd tracks then this sounds like you are very likely suffering from the same issue described here => Dolby TrueHD passthrough - modified mpv build

Maybe you can try such a modified mpv.dll and test again?

VLC does not show this issue because it uses a very outdated version of ffmpeg (last time i tested vlc), before changes were made to the truehd passthrough logic.