Fidelizer does lots of things including tinkering OS as Jim said but that's not what it's really about. Allow me to explain here
1. It utilizes Windows' Multimedia Realtime framework (MMCSS and such) to configure multimedia task in favor of audio playback. You can see some DAW software having MMCSS feature. Fidelizer does similar stuff like that but in its own way. This isn't tinkering OS but optimizing core audio using safe code and instructions provided by Microsoft. Again, it's all about using Microsoft stuff and doesn't tamper anything else outside what OS originally offers.
2. It manages processes like priority and core affinity. This is some what tinkering OS like Jim said and not always safe to do so default configuration won't perform this.
3. It can shutdown non-audio services leaving only audio ones or other required features like Network. Since shutting down service doesn't seem to be healthy activity for most people. It's a feature for Extremist that was once removed and brought back again upon request.
In free version of Fidelizer, all these things are done temporary and will not cause any side effects after restart. Default configuration will apply only MMCSS optimizations which is on safe field. You can test this software without taking risks since there's no possibility to damage your machine without permanent modification. You can simply delete this software if you don't like it later.
For more elaborated information about Fidelizer, you can visit
www.Fidelizer-Audio.com and read in details there. I'm sure it'll be ears opener once you give it a chance.
Regards,
Windows X