The first thing most owners of a Dodge RAM with a Cummins do is install performance modifications. They will flash a custom tune in the engine control system, change the fuel injection, intake and turbocharger, etc. and set it up so that it can "roll coal" they don't care one iota about emissions.
The Dodge RAM was the last full-size truck made with a manual transmission. I have been watching Craigslist and FB marketplace for one of these with a Cummins to come up in factory stock condition. They are rare. They've almost all been modified.