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In most cases, you will be able to use Skype as soon as it has been installed, and unless you encounter a problem with Skype we do not recommend that that you change your sound settings. However, it's possible that your sound system may not be compatible with Skype, and if so you will need to configure them to work with Skype.
Skype for Linux supports the PulseAudio and ALSA sound systems. As of version 4.3, the ALSA sound system is no longer supported without PulseAudio.
To use PulseAudio with Skype:
Check that your hardware settings are correct in both the Input and Output tabs.
If you need to adjust the PulseAudio settings, click Open PulseAudio Volume Control to open pavucontrol again and alter as necessary. When you are finished, click Playback to check that all is in order.
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