Overall, not a bad truck, but not the greatest. It's got tons of power, and has really good fuel mileage at the same time(22 mpg). The interior is ok, except for that cheap plastic look. Its a rough ride though, but its a one tonne. The odd sized tires are bad too, go for 16's again. Also, the body paneling is very thin, you look at it, its dented. I want to get a new truck because the 2004 and 2005 Rams were the worst when it comes to reliability, proved that one with this truck. It will probably be a new 2008 Dodge Ram 4500 or a GMC 3500. I hear those trucks aren't too bad.
My previous truck was an 07 Chevy Avalanche Z71 so the bar for comfort and nice ride has been set to a level that not many trucks will achieve. On the other hand, comparing the ride of a 1 ton work truck to a 1/2 ton luxury truck isn't exactly fair. The Dodge does a good job but does fall short in interior comfort. The dashboard controls aren't laid out with ease of use in mind. The gauge cluster is small and crowded and the steering wheel is so small it looks like they took it out of a small sedan.
Having put over 40K on my truck in the last year, I still love it. The 5.9L HO CTD is the strongest engine I have ever owned. Pulls a 14K lb fifth wheel like a dream. The interior is functional and comfortable. At 70K miles, I had to replace all four shocks and had to have the driveshaft joints replaced. Also, had to replace the roof marker lights as they cracked and leaked rain water into the cab. Small problems aside, I will never own another brand of truck as long as Dodge stays with Cummins!
I've really enjoyed this truck. I tow large deck goosenecks around town and the country and this engine/tranny/truck combo has been everything I wanted. It's a bit of a pain in town, but that's what you get with a DRW hauler. Only one issue presented itself since purchase, an A/C compressor leak at 36,000 miles. Factory repaired under warranty -- and living in Houston we're pretty hard on A/C units! Tires and maintenance costs are expensive on these rigs, but they pay you back with reliable operation and endless power. The Laramie interior is quite nice, and a relatively inexpensive addition of a JL Audio subwoofer stealth box makes the Infinity sound system sing for those long hauls!
This is the second Dodge Truck I've owned, the first was a 2001 3500 model. The 2001 was a good truck, reliable, etc., but was designed more like a "work truck". The 2004 is a lot different! It's the Laramie package, and it's totally tricked out. We did add chrome headache rack, wheel well covers, and cattle guard, but the interior is really luxurious with the leather and suede seats, power everything, etc. The sound system is very good, much nicer than the 2001. And performance on top of all this! We pull a 32 ft stock trailer, and the Dodge pulls it easily, and looks good doing it. So far, this has been a great truck.