http://bugs.winehq.org/show_bug.cgi?id=24478
--- Comment #15 from Erich Hoover ehoover@mines.edu 2010-11-07 01:37:16 CST --- (In reply to comment #14)
... FYI, there are some errors in that log because of general instability. Specifically, Fallout:NV crashes every other time I load it, like clockwork. ...
Actually, at first glance this might indicate the source of the problem... It looks like F:NV puts the music processing in a separate process (a sensible enhancement to the engine to better support multi-processor PCs), so you're hitting a bug in the other process and that's why you don't have any music.
If I had to guess, I'd say that you're hitting the new bug having to do with the recent movement of the pin initialization (this also recently started affecting F3). So, if the source of the issue is the same in F:NV as it is in F3 then you can try out an attachment I just added to Bug #24782 and that should hopefully fix your problem.