To be fair, Ford builds them as work trucks. Like you said, the biggest thing you can buy without needing an upgraded license.

The triple cab, pickup style box, and lift kit are all aftermarket. Straight from Ford it’s at most a king cab with a frame rail back. Then you’re supposed to put on some kind of working back (toolbox, dump truck, lift arm). That’s the kind of thing you see in official marketing images.

I used to work for a company that built garbage compactor units and put them on the back of trucks like these. The main selling point was that you only need a regular license and you can fit into narrower spaces than a full size garbage truck.