Exccept in a few cases, like Deus-Ex, I turn off the music.
I almost choose English even if Italian is available, as Italian localisation used to be terrible, and even if now it's often better than in the past, I got used to play games in English.
In RPGs I almost always choose a more magic-oriented character, and I almost always grind a lot to make it both very strong in magic and strong enough in melee and ranged weapons too, to save mana for the nastiest enemis. My Gothic II mage can kill most common enemies, even the strong ones, with one or two strokes of the strongest swords or one or two hits of the strongest bows and crossbows, but he must be quick, as he has less hit points and a weaker armour than fighters anyway, and more than two skeletons at a time can still kill him quickly, let alone timing badly the attacks against a troll, or letting a skeleton mage perform a successful freezing attack.