One negative might be the required safety chains. With a dually, crawling into the bed at each end of a trip to deal with the chains might be a pain.
Pretty moot point unless you are boondocking a lot; the lean angles and bedrail clearances act differently when the pivot point is close to the bed as opposed to being higher as with a standard hitch. Just be aware if backing in a lumpy situation.
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2004.5 Ram 3500 2WD DRW
2008 Carriage, tows at 10k#
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