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You might have a problem finding a manual transmission along with the V10, even if you order it. The latest model-year information says they are not available for a bunch of different combinations.
However, I'd check out the TorqShift automatic, and with the Tow/Haul feature you'll be pretty happy, I'd think.
You're still going to have power drop-off because of elevation on the gasser, not sure how much that's going to hurt.
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'01 F250SD V10 auto 4x4 SC SB Volant CAI, ebay headers/y-pipe
'74 F250HD FE390 4-speed 4x4 LB - heavily modified 390 (deceased)
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