I had an 03 Ram with one. Bought it with 35,000 on it in '06 and put another 150,000 on it over the next 6 or 7 years.

I think I replaced 1 water pump and 2 coils.

I ran 10w30 Mobil 1 that NEVER got changed on time and it got driven hard.

It developed the 4.7 cold rattle a couple years in but never got any worse.

It spent 3 or 4 years parked against the fence because of electrical issues that I was to lazy to fix before I finally sold it in 2019.

It fired up on the ancient E10 gas in the tank and ran just as well as the day I bought it.

Power was a little underwhelming and the fuel mileage was unspectacular but the truck weighed 5500 lbs.

It was stone axe reliable in my experience.

Kevin