MDS (Multi-Displacement System) cylinder deactivation lifters fail at 60k–120k miles when oil changes were neglected or extended. Symptoms: ticking, misfire codes (P0301–P0308), oil consumption.
Cold-start the engine and listen for a tick that persists past 30 seconds. Scan for cylinder misfire codes. Check oil change interval records — beyond 7,500 miles increases MDS risk.
Est. cost: $3,000–$6,500 lifter replacement (all 16 + cam)
Source: NHTSA complaints + Ram service campaigns