This truck has been extremely reliable, given its age and mileage. The engine runs smooth and does not burn or leak oil. In fact the truck does not drip a single drop of fluid. The truck has a 6" suspension lift with 33" tall tires.
The 4.6L has decent power (210 horsepower and 290 torque) with no load in the truck, but feels underpowered when towing a small boat or trailer. The 5.4L V8 is a better option to go with (235hp and 345 torque).
Gas mileage is so-so (12-13mpg), but is not bad due to the tire size.
The truck is one of the most comfortable that I have ever owned, with nice supportive seats, plenty of leg room and nice ergonomics. The dash is basic but well laid out.
Feels more solidly built then the Chevy or Dodge fullsizes. I was skeptical about buying a truck with such high mileage, but given how the truck runs now, I see no problem pushing it to 230k and higher.