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Abstract Objectives To determine whether tinnitus negatively impacts the accuracy of sound source localization in participants with normal hearing. Methods Seventy-five participants with tinnitus and 74 without tinnitus were enrolled in this study. The accuracy of sound source discrimination on the horizontal plane was compared between the two participant groups. The test equipment consisted of 37 loudspeakers arranged in a 180° arc facing forward with 5° intervals between them. The stimuli were pure tones of 0.25, 0.5, 1, 2, 4, and 8 kHz at 50 dB SPL. The stimuli were divided into three groups: low frequency (LF: 0.25, 0.5, and 1 kHz), 2 kHz, and high frequency (HF: 4 and 8 kHz) stimuli. Results The Root Mean Square Error (RMSE) score of all the stimuli in the tinnitus group was significantly higher than that in the control group (13.45 ± 3.34 vs. 11.44 ± 2.56, p = 4.115, t < 0.001). The RMSE scores at LF, 2 kHz, and HF were significantly higher in the tinnitus group than those in the control group (LF: 11.66 ± 3.62 vs. 10.04 ± 3.13, t = 2.918, p = 0.004; 2 kHz: 16.63 ± 5.45 vs. 14.43 ± 4.52, t = 2.690, p = 0.008; HF: 13.42 ± 4.74 vs. 11.14 ± 3.68, t = 3.292, p = 0.001). Thus, the accuracy of sound source discrimination in participants with tinnitus was significantly worse than that in those without tinnitus, despite the stimuli frequency. There was no difference in the ability to localize the sound of the matched frequency and other frequencies (12.86 ± 6.29 vs. 13.87 ± 3.14, t = 1.204, p = 0.236). Additionally, there was no correlation observed between the loudness of tinnitus and RMSE scores (r = 0.096, p = 0.434), and the Tinnitus Handicap Inventory (THI) and RMSE scores (r = −0.056, p = 0.648). Conclusions Our present data suggest that tinnitus negatively impacted sound source localization accuracy, even when participants had normal hearing. The matched pitch and loudness and the impact of tinnitus on patients’ daily lives were not related to the sound source localization ability. Level of evidence 4. hearing Seventyfive Seventy five 7 study groups 3 180 5 them 025 0 25 0.25 05 0.5 SPL LF (LF , (HF (RMSE 13.45 1345 13 45 (13.4 334 34 3.3 vs 1144 11 44 11.4 256 56 2.56 4115 115 4.115 0.001. 0001 0.001 . 001 0.001) 1166 66 11.6 362 62 3.6 1004 10 04 10.0 313 3.13 2918 918 2.918 0.004 0004 004 1663 16 63 16.6 545 5.4 1443 14 43 14.4 452 52 4.52 2690 690 2.690 0.008 0008 008 1342 42 13.4 474 4.7 1114 11.1 368 68 3.68 3292 292 3.292 Thus 12.86 1286 12 86 (12.8 629 6 29 6.2 1387 87 13.8 314 3.14 1204 204 1.204 0.236. 0236 0.236 236 0.236) Additionally r 0096 096 0.096 0.434, 0434 0.434 434 0.434) THI (THI 0056 056 −0.056 0.648. 0648 0.648 648 0.648) patients 18 02 0.2 0. 134 (13. 33 3. 114 11. 2.5 411 4.11 000 0.00 00 116 36 100 10. 31 3.1 291 91 2.91 166 16. 54 5. 144 14. 4.5 269 69 2.69 13. 47 111 329 3.29 12.8 128 (12. 6. 138 120 20 1.20 023 0.23 23 009 09 0.09 043 0.43 005 −0.05 064 0.64 64 (13 2. 41 4.1 0.0 9 2.9 26 2.6 32 3.2 12. (12 1.2 0.4 −0.0 06 0.6 (1 1. −0. ( −0 −