I tried out https://github.com/stechyo/godot-steam-audio this jam it worked pretty well, pretty much drop in replacement for sources and listeners for better spatialization.
Another thing I learned is that making modifications to the engine itself isn't actually that scary. You can just clone the source, add some patches, and build another engine and release template (I had to do this for oblique camera projections with https://github.com/V-Sekai/godot_planar_reflection ) .