This article is from the Apple II Csa2 FAQ, by Jeff Hurlburt with numerous contributions by others.
Yes, it can, even when the computer seems to be working okay otherwise. When I first plugged in my new TDX Stereo Card, I got sound, but very, very quiet. When I turned up the speakers (a LOT), the audible noise from the bus got almost deafening, yet the music level increase was barely perceptible. It was at this point that I recalled why I bought a Buggie power supply in the first place. I had never needed it, having suffered no major power-starved related problems in the past; but, thinking it might make some small difference, I removed the internal power supply and connected the Buggie and tested again. I have never, ever heard something sound so sweet! It balanced the volume perfectly and completely eliminated the bus noise.
 
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