Broken valve springs taking out motors.The 5.7 is reliable and durable, but it isn't perfect -- the first gen radiator crack, the difficulty of replacing the alternator, the valley plate leak, the secondary air injection issues, etc.
Toyotas cooling systems suck imho. They cant seem to make one that doesn’t have a decent probability of having a major leak before 200k. But everyone considers replacing radiators regular maintenance. It was the same on the other Toyota groups I’ve been a part of.