Are my choices really limited to stream sound or hear sound?

Question

I followed the instructions at How can I use PulseAudio virtual audio streams to play music over Skype? in order to load-module sinks. I can stream to my twitch feed no problem. My problem is that I can't hear the game sound myself. Only my stream can. Is there a way that I can stream my sound, as well as hear it while I'm streaming?