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How to I enable the game that I have that are configured in ScummVM to run the Roland MT-32 that are compatible? I have everything setup so my DOSBox games run fine with MT-32 that are compatible.
This question / problem has been solved by mondo84image
I don't have personal experience, but I found a thread here with a tutorial (youtube link).

According to ScummVM's wiki
Some games which contain MIDI music data also have improved tracks designed for the MT-32 sound module. ScummVM can now emulate this device, however you must provide original MT-32 ROMs to make it work:

MT32_PCM.ROM - IC21 (512KB) MT32_CONTROL.ROM - IC26 (32KB) and IC27 (32KB), interleaved byte-wise

Place these ROM's in the game directory, in your extrapath, or in the directory where your ScummVM executable resides.

You don't need to specify --native-mt32 with this driver, as it automatically gets turned on.