Could be heaps of things.
I'd check for air leaks. I had a massive hole in the elbow of a line near behind throlle body, right side near the coolant sensor. I could hear the sucking air over the idling engine. It causes a strange fluctuation and sometimes hesitant acceleration.
Or the ignition control module could be dying which will drop a cylinder, that will make it run like **** and sound rough like a Subaru.
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