Make sure Headphones is 'Galaxy Buds+ (989B) Stereo' as Default Device Stay on the Advanced tab > under Signal Enhancements > make sure Enable audio enhancements is checked Right click Headset > Advanced > under Exclusive Mode, make sure Allow applications to take exclusive control of this device and Give exclusive mode applications priority are both checked

Make sure Headset is 'Galaxy Buds+ (989B) Hands-Free AG Audio' as Default Communications Device Right click 'Galaxy Buds+' again > Sound settings > Playback tab Under the Bluetooth Services section make sure all checkboxes are checked > Apply > OK Search > Control Panel > Devices and Printers > right click 'Galaxy Buds+' > Properties > select Services tab After several hours, here are the settings I have now that enable me to both playback music from Spotify at high quality and take Zoom calls. Windows 10 has so many different goddamn areas where it manages sound, I had to just keep troubleshooting by making one change in each area at a time and retesting. Wanted to put this up here in case anyone else had this issue - I was able to playback sound fine but unable to use the microphone.

Windows 10 microphone driver isssue