Bringing an old thread back to life because I have the same issue with my '02 2500hd with the 6.0 and 4.10 gears. I just went and bought a trailer that weighs 5k lbs And had to tow it home out if Carlisle, which is tons of steep winding hills with 10mph corners. Anyways the truck has never even got warm empty. Temp stays around 190° and stayed there. First but hill I really had to get into it after the first corner because there was cars behind me wanting to go the 45mph speed limit after the corner, speed was slowly coming up and I got to the 45mph speed limit and check all the gauges and see check trans temp is up around 230° or so, and coolant temperature just about pegged. Whipped into the first place I found I could fit and let it cool down. System was holding good psi and didn't boil out the overflow until I bled the psi. Limped my way home watching temps and not letting trans or coolant get over 230°. I've read that the tiny trans cooler isn't efficient enough and am going to get one rated for 30k gvw rV's. I had removed about 2 gals of coolant and replaced with new 50/50 extended life coolant. Also added some of the coolant additive that's supposed to help run cooler. I also blew out the radiator, condenser, and coolers with compressed air then ran water through until it was clear. Tons of dirt, but would that of been enough to make it run hot with only 5k lbs behind it? As far as I know thermostat, water pump, and fan clutch are stock. Thermostat seems to work fine, and I'd imagine water pumpworks because it only got hot towing. Fan also seemed to work, would pull my shirt up against the cooler with the grill off. So just flush it out and think it was just lack of airflow? Because it never even got warm on the interstate.