I am running as admin, also I did finally get a .mdf image made, but pSX won't even run it; it just crashes and gives me the option to create a crash dump.
ePSXe will run the image file, but the voice acting for the game isn't there. I tried using the core epsxe sound plugin and also a few others I got off of the plugins page, but none work. I don't mind playing without the voice acting I guess.. but it makes the game a lot better if it works :/
Nevermind, I fixed it, just had to check a few boxes in the sound config
