The blue dent got one important thing right. Make the rear fenders match. That's the biggest thing I don't like about most of the medium duty builds.
I tried to find two similar builds to show what I mean.
I have so many builds rattling around in my head and one of these is in it. Right after my 60-66 medium duty. Stock long grain truck style frame, crew cab long bed, 8.3 Cummins, 6spd eaton, m923 transfer case, FMTV meritor axles with eco hubs, 385\65R22.5's on 22.5x12.25 alcoas. Not that I've thought about this a bunch or anything.....