Large pickups have become the most dangerous vehicles on the road for the people who are not inside them. IIHS measured how many drivers of other vehicles die per million registered vehicle years for each model, and the worst results belong almost entirely to heavy-duty trucks. Here are ten pickups with the highest other-driver death rates in the 2026 data.
1. Ram 3500: Heavy Hitter
IIHS-based ranking put the Ram 3500 crew cab long bed 4WD at the top of the pickup table, with 204 deaths per million registered vehicle years among drivers of other vehicles. The next entry on this list reaches 126, so the Ram stands well apart from the field.
The statistic counts people outside the truck, not its own occupants. Shoppers weighing a very large pickup for commuting or family duty should treat that gap as part of the cost of ownership, because the rate describes the harm that falls on everyone sharing the road with it.
2. Chevrolet Silverado 3500: Dually Danger
The IIHS death-rate study credits the Silverado 3500 crew cab 4WD with 126 deaths among drivers of other vehicles per million registered vehicle years. That puts the heavy-duty Chevrolet second on this list, behind the Ram but ahead of every other truck here.
Buyers who tow only occasionally might ask whether a one-ton truck is truly needed for daily driving. Fleet managers could weigh the rate alongside payload requirements, since the exposure lands on other motorists whenever one of these trucks is in traffic.
3. Ram 1500 Classic: Classic Offender
Even the older-style Ram 1500 Classic appears here: the crew cab short bed 4WD posted an other-driver death rate of 124, according to an IIHS table reproduction of the IIHS figures. Only the Ram 3500 and the Silverado 3500 rank higher.
A half-ton label does not guarantee a gentler result for other motorists. Used-truck shoppers attracted by the Classic’s price should note where it sits, and compare rates for specific cab and bed layouts rather than relying on the nameplate alone when judging risk.
4. Ram 2500: Mid-Weight Menace
Another Ram makes the cut: the IIHS-derived rates lists the Ram 2500 crew cab short bed 4WD at 113 other-driver deaths per million registered vehicle years. That is the third Ram among the first four entries.
The cluster suggests that very large pickups, rather than one unlucky configuration, drive the pattern. Owners using a three-quarter-ton truck for work may find the figure a prompt to review driver training, visibility aids and following distances, since the burden lands on other people.
5. Chevrolet Silverado 2500: Bowtie Burden
Chevrolet’s three-quarter-ton crew cab 4WD logged an other-driver death rate of 111, a figure the IIHS rate table reproduces for the Silverado 2500. It sits just below the Ram 2500’s 113 in the ranking.
The two heavy-duty rivals land within two points of each other, so the rate seems to track truck class more than brand loyalty. Shoppers comparing heavy-duty pickups will find little separation between the big domestic makers, and those wanting lower exposure for others might look further down this list.
6. Ford F-150: Half-Ton Contender
The IIHS table reports 99 other-driver deaths per million registered vehicle years for the Ford F-150 SuperCrew 2WD. It is the first two-wheel-drive configuration to appear in the ranking.
That figure is lower than every heavy-duty truck above it, showing that a full-size half-ton can sit well below the worst rates. Buyers choosing between cab styles and drivetrains might note that the published rate applies to one specific configuration, not to every F-150 sold, and that the Tacoma below it scores lower still.
7. GMC Sierra 2500: Three-Quarter Ton Toll
The informed-for-life summary gives the 2020-23 GMC Sierra 2500 crew cab 4WD a rate of 98 other-driver deaths per million registered vehicle years. The Chevrolet Silverado 2500 posted 111.
That gap is notable for two trucks in the same heavy-duty class, so shoppers should not assume that corporate cousins share an identical result. Buyers considering the Sierra for daily commuting could weigh the rate against the truck’s capability, while fleets might give extra attention to drivers working in dense traffic.
8. Toyota Tacoma: Mid-Size Exception
Not every entry is a giant: the Toyota Tacoma Double Cab short bed 2WD posted an other-driver death rate of 75, as the IIHS rates roundup reports. That is under half the Ram 3500’s 204.
The comparison suggests that size and weight matter, yet a midsize pickup still earns a place among the deadliest to other drivers. Buyers who do not need a large truck for hauling can reasonably consider a smaller one, while keeping in mind that the rate is specific to one cab, bed and drivetrain.
9. Jeep Gladiator: Trail-Rated Toll
The Jeep Gladiator recorded 72 other-driver deaths per million registered vehicle years for 2020-23 crew cab 4WD models, according to the IIHS driver-death analysis. Only one entry on this list scores lower.
The Gladiator is the only Jeep here, and its lower number stands apart from the heavy-duty trucks that dominate the top of the ranking. Even so, the rate still earns it a place among the deadliest to other drivers, so off-road-minded shoppers should weigh that finding alongside trail capability and everyday use.
10. GMC Sierra 3500: Dually Last Place
Rounding out the list, the 2020-23 GMC Sierra 3500 crew cab 4WD had an other-driver death rate of 67, according to the IIHS 2026 summary on the IIHS report. That is the lowest figure among the ten pickups.
Even the lowest rate in this group is substantial, and it belongs to a one-ton truck of considerable size. Buyers who prize towing capacity might accept the tradeoff knowingly, while those who rarely haul heavy loads could ask whether a lighter truck would serve them just as well.
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