You also forgot lead foot drivers that have installed massive extra amounts of rotational mass to all 4 corners. Tires larger than stock and heavier wheels. Not to mention the countless 150-200 lb front and rear tube bumpers, sliders etc.......Throw mileage & neglect on top of that and something has to give.
This. For the most part, we love these trucks because they are "affordable" and capable. We're enthusiasts. We love to install stuff and push our trucks hard. At 200k+ miles, we're asking a lot. I'd hypothesize that the majority of head gasket failures come on trucks that have been built.