Mod is nothing more than just a fun little soundpack, to make the game a lil' more goofy.
The mod has a config that can be used to toggle sounds that were added
Compatibility
The only compantibility issues i can think of would be with other mods that use loaforcsSoundAPI. Like LETHALRESONANCE. The mods will work together but if both mods have the same sound file replacements it will pick at random between them.