Missfire Again
I just went through this misfire extravaganza and was losing my marbles over it, changed the plugs, checked electrodes, coil... everything was good... but still the bugger stuttered and sound like crap. I gave in and took it to a pal of mine at a shop, it was the IAC valve - $100... so before you go through changing all your coils, fuel injectors etc. It might be a dirty IAC valve or just replace it all together... phew...
You'll know. No power really shaky wired sounds in lamens terms. Hard to explain. Here's an idea. Unplug one of your injectors, and start your truck don't let it run for too long but you'll see what I mean by weird noises.
Where does it sound like its coming from? Could be trans or rear end. A motor is all rotating parts so it'll be a repetitive thump, if that's your concern. Trans might have a hard shift or maybe bad mount or rear end might just need greased up.

