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I have almost covered 204k miles on my '06 E350 with a 6.0 and still counting. My car broke down twice and had it towed three times when the oil pressure regulator broke but other than those issues it was a solid motor with good power and reliability. I'd definitely suggest to go for it
Ratchet Tie Down Straps
Go to powerstrokehelp.com and watch the videos Bill posts and educate yourself on the 6.0 engine.After watching all of those videos on that particular engine, you may change you're mind about the 6.0.Sorry to be the bearer of bad news, but 200 thousand is nothing for a diesel, and catostropic internal failure with this engine is inevitable.