A meteorologically challenging situation that represents a demanding control task (rotational speed, pitch and yaw) for a wind turbine is presented and its implementation in a simulation is described. A high-fidelity numerical process chain, consisting of the computational fluid dynamics (CFD) solver FLOWer, the multi-body system (MBS) software SIMPACK and the Ffowcs Williams-Hawkings code ACCO, is used. With it, the aerodynamic, servoelastic and aeroacoustic (<20 Hz) behaviour of a generic wind turbine during a meteorological event with strong and rapid changes in wind speed and direction is investigated. A precursor simulation with the meteorological model system PALM is deployed to generate realistic inflow data. The simulated strong controller response of the wind turbine and the resulting aeroelastic behaviour are analysed. Finally, the low-frequency sound emissions are evaluated and the influence of the different operating and flow parameters during the variable inflow is assessed. It is observed that the wind speed and, linked to it, the rotational speed as well as the turbulence intensity are the main influencing factors for the emitted low-frequency sound power of the wind turbine. Yawed inflow, on the other hand, has little effect unless it changes the operational mode to load reduction, resulting in a swap of the main emitter from the blades to the tower.