I have the Andersen with the adapter set for more distance to the cab (red ball receiver forward). My truck bed is 6'9" with the OEM puck setup. I have good clearance to the tailgate and side rails. It tows just fine in this position. I don't really notice much of a difference driving down the road between this and my 2004.5 Ram with a Superglide (same trailer) - except that the Andersen is smoother and quieter. And, there's no comparison in removing/installing the hitch as the Andersen is about 200lbs lighter. Hooking up is a bit more effort due to ball alignment vs. backing into a slot. But, I'll take that tradeoff any day. I'm super happy with the Andersen so far.