What's that you were saying? Not a different pattern? Not a separate set of studs?
2014 Dodge 3500
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Dodge 3500 2000-2011
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It doesn't matter. As long as there's enough metal around the studs, it's perfectly safe. Yes, adding an additional set of lug nuts does complicate things, you do need to make sure ALL of the lug nuts are properly torqued and checked periodically. But if you do that, they're perfectly safe. If you look at the wheels you're bolting on, and consider the thickness that they have and their construction, the wheel is usually the weakest link.