"Owned it new since Jan 1 2003. 4th Ford for me and they just get better. Not one problem as the 6.0 diesel by far was one of the most advanced diesel engines built for a light duty truck. Most people claim problems however, it's been end user issues 9/10 times Ford had bit the bullet on warranty issues; it could have come with 6 head studs not 4 torque bolts but they do work fine. As with most of the 170 reviews you will find nothing but pleased users as I am one more to add to the list of satisfaction when it comes to reliability and performance out of the truck. My only issue is the doors rattle too much when not on paved roads heading to the trails with the Jeeps but hey, it's a TRUCK! Go out and buy a Ford, you won't be sorry. If you ever sell it, the private party value is very high. Mine is holding at half 6 years later."
"I've had my 7.3 Powerstroke for about 4 years and am about to roll over 150,000 miles. My only complaint is that the front-end requires more maintenance than I am used to. The great part is that it gets around 17 mpg which is awesome for an 8000 lb truck. I love the 6 speed manual tranny, I can pull anything I hook up to. I've had 23,000 lbs behind it and no problems. Mileage did drop to 14 mpg with that kind of load. I'd definitely recommend this vehicle to a friend. One thing, use the synthetic oil......."
""Very powerful V10. I pull a 9,000# toyhauler up a 4,000' grade, and it has never given me grief. Regardless of what people speculate this gets about 10-13 mpg mixed city highway and my truck has a 6.5" lift with 35x12.50 tires on 17" wheels Its all stock except for exhaust and Superchips programmer. It'll bark the tires off the line-- not bad for a 7300lb truck. mine has single 35 gal tank and I hate filling it up, who wouldn't. very strong truck, and can haul anything you hook to it.""
"Got the V-10 w/6-speed, great combo! Hauled fully loaded including double axle trailer w/music equipment to gigs NM, AZ, CO, no complaint; 15-18 mpg! Very comfortable on those long trips. Tows with ease -- gotta have that V-10! The Fx4 goes through 8" of snow on road like nothing's there! A real cruiser -- I'll keep it forever."