Yes, this Screamer turbo (part number 1045772) is a direct-fit replacement for all 2019 through 2024 Ram 2500, 3500, 4500, and 5500 trucks with the 6.7L Cummins engine. It uses the factory mounting points and requires no custom modifications to install. — This turbo was specifically designed for the 5th Generation 6.7L Cummins engine platform. It is built using a genuine Holset housing, ensuring all connections for the oil feed, oil drain, coolant lines, intake, and exhaust match the factory locations perfectly. The estimated installation time is 4.5 hours and requires no special programming. It is also 50-State Legal under CARB E.O. No. D-553-14, making it compliant for use on registered vehicles in all 50 states.