5.7L Hemi cam-and-lifter tickmajor
The Hemi's valvetrain risk is a constant across the generation: a worn lifter and cam lobe tick and eventually misfire. Independent mechanics quote a cam-and-lifter repair at a minimum around $4,500, with full engine replacement often recommended once metal appears in the oil. A cold-start listen is the single most valuable check. A serpentine-belt-tensioner Customer Satisfaction Notification (U21) also applies to some 2020 trucks — worth a VIN check. Pentastar V6 trucks avoid the Hemi-specific risk.
Sources: NHTSA complaint database, 2020 Ram 1500 · Independent mechanic channel transcripts (5.7 Hemi cam/lifter; eTorque MGU teardown)
~$4,500
Cam + lifter repair (mechanic-quoted minimum)
higher
Engine replacement (often recommended)