jaymilo: How to enable it?
Do you have a soundcard that supports Creative ALchemy or the like? In my case I made a new entry in ALchemy, pointed it to the game's installation folder ('D:\Program Files (x86)\GOG Games\Infernal Machine' for me), checked 'install into sub-folder' and pointed that towards the 'Resource' folder inside the installation folder. After that I could enable 3D sound from the launcher.
I think that games like this that rely on the old DirectSound3D / EAX implementation will not work without some kind of intermediate software like ALchemy.
*edit: also had to set duration from 25 to 20 to fix a bit of stuttering in the intro cinematic, so you might want to play with that value if you have the same issue.