Off-loads sample mixing to the sound card. Computers of that era were slow enough that doing 44100 additions per second was expensive (IIRC quake had 8Khz samples anyway).
(Very small groups of) people used be in awe at LAN parties when I showed them how Linux could play an MP3 without stutters while copying large files across the network and browsing images.
Then it was time to play games and people were less impressed by me not being able to join any other game than Quake...
No problems here on Winamped Windows 98, albeit on a Pentium 166 with MMX. Often enough it was just a systems configuration issue.