What killed it, well after reviewing some PS4 gameplay I noticed that it was having audio issues, like it would allow some sounds but not all. It was almost as if it was receiving a 5.1 audio output but was missing the centre channel. Even though the PS4 was set to stereo.

After trying various cables, configs, and boxes. I narrowed it down to this box. Not sure what killed it, whether it's just old, or that it's been powered on for over 5 years straight. But its long service will never be forgotten in the hours of Netflix and Disney Plus it passed through to my recorder.