Audio artifacts (commpression noise)

Try useDtx: false (it’s boolean, not number)

Also try disabling autoGainControl and echoCancellation.

Client snippet code:

async function getUserMedia() {
  let stream;
  try {
    stream = await navigator.mediaDevices.getUserMedia({ audio: {
        autoGainControl: false,
        noiseSuppression: true,
        echoCancellation: false
      },
      video: false })
  } catch (err) {
    console.error('getUserMedia() failed:', err.message);
    throw err;
  }
  return stream;
}

Also test disabling noiseSuppression.
Be careful, I use no video, only audio.