Towing is a concern, looking at the specs, with a 3.73 rearend the 6.0 is rated in the 9,000lb range. Most fifth wheels start in the 8,000+ range and up empty with nothing in them. So you would have to opt for the 4.10 rearend which would get worse mileage to get the higher towing capacity. Looks like people are getting 7-9lbs towing and up to 15-16mpg best hwy with no towing, not great.