It’s a real truck lol.
As for doing a 5 speed swap on a new Ford, not gonna happen. Well it can, but very expensive. Like whole other truck cost expensive. Due to fords newest can bus setup, all modules are linked, coded to each other and some serious programming would have to be done to the truck. Not saying it cannot be done, but would be an arm, a leg, a first born, their first born lol.
Also, the new automatics are actually pretty darn tough. My wife’s grandfather has a 2017 now and we pulled a large trailer with 2 Volvo wagons filled with parts on it up Monteagle (massive grade on I-24) with no issues and the trans temp never went above normal. It was me driving, so I kept my speed lol. 65 all the way up the mountain and not a single hiccup. Only issue was fuel mileage with that load. His is a 5.0 truck also.