I have a Mark's Adapter in my truck with an H55 and a 5.3 and like Lehiguy says, I'd be tempted to skip the Mark's adapter no matter what you do to simplify things. The work to move the cross member will not be a big deal compared to the rest of the job. And, for what it's worth, you should probably have your driveshafts looked at while they are out... shortening and lengthening them while the shop is at it won't be a huge hit on the budget.
I considered doing an NV4500 because I might be able to use a regular bellhousing and not move stuff too much. I'll decide for sure when I take mine apart to look at the clutch and tranny in a few weeks. I think there is funkyness going on in the Mark's adapter. As for how they drive, I can only say i've driven one truck (cruiser with a 350) with the NV4500, and the shifting seemed fine, the big difference was the gear ratios. Drive something with both trannys and see what you prefer. The NV4500's can be had with really deep 1st gears which is nice. My H55 felt like a car tranny in comparison...
Funny you should mention clutch thing...."we" are having to look at my clutch at present time (I too run marks adapter)... Some work was done that included adjusting the clutch by a shop...waiting to see results of the disassembly... slipping at present. Initial view is that clutch adjustment was not done correctly ...still waiting to see.
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