I run a '07 Hilux. V6 4L Petrol. Over 230,000kms on it so far. Bullet proof... but, then again, there's no salt/slurry on our roads to rust them away. Just the intense UV rays to contend with.
No worries hauling a 5x4 round of hay or an implement in the back, or towing a horse float. It's done everything I've ever needed it to do.
There are 'full size' N.A. pick-ups available here, at astronomical prices! (A$85k - A$100k) They're used for specialist uses or for people with deep pockets who 'just want one'. It's the import duties and RHD conversion that jacks the price up here.
I believe that, in N.A., the reason that they're unavailable is due to something called the "Chicken Tax".