A high-fidelity process chain is used to numerically investigate the low-frequency emissions from a generic wind turbine under turbulent inflow conditions. It consists of the Computational Fluid Dynamics (CFD) solver FLOWer, which is coupled to the multi-body simulation software SIMPACK to take unsteady aeroelastic effects into account. A realistic flow field for the complex terrain of Perdigão, Portugal is obtained by including the orography and vegetation in the simulation and using a precursor simulation with E-Wind to generate a site- and situation-specific inflow. The acoustic emissions are calculated with the Fflowcs-Williams-Hawkings (FW-H) acoustic solver ACCO. The simulations show that the tower emits noise caused by the blade-tower interaction (BTI) equally strong in all directions. To the sides of the turbine, this contribution is dominant, regardless of the turbulent inflow. The blades, on the other hand, emit significantly more noise under turbulent inflow, especially in streamwise direction, where they become the dominant source. The main noise mechanism here is the low-frequency part of the inflow turbulence (IT), followed by the BTI. The flow field in Perdigão causes additional large-scale variations in IT noise over time.