If I'm not mistaken, it has to do with the cast pistons ...and it is quite common in GM LS engines ...which are what we have in our trucks.I also have a little piston slap in the cold on my 350. 225K on the motor. Hopefully it isn’t too bad because I’m not putting a motor in it yet.
Yes I believe the truck to be an oddity with the extended cab, 5 speed, and stepside bed.
What Is Piston Slap, And Will It Harm My Car?
Are you aware the GM LS engine is known for piston slapping when cold? It’s a rather loud and annoying knocking noise from the motor which is more common during cold starts. And while older engines…
autofella.com
It sounds bad, especially in the colder weather, but mine's been doing it since I got it in 2001 and hasn't gotten any worse over the years.