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Pretty sure a 5th wheel gets closer to the bed then a gooseneck.
Generally the only part of a gooseneck over the bed is the tounge/frame. Where a 5th wheel is (generally camper) has trailer body over the bed.
A gooseneck should be more free to move or pivot as it is a ball. Unless your doing off road pulling not really a necesity, but nice to know you have more room.
Also like you said, you only have a ball with a gooseneck.
 

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I know their is also a company that makes a 5th wheel / gooseneck combo.
It was B&N or B&W something like that.
I think it has a plate or bracket on each side and it's a drop in for both like a gooseneck.
But the 5th wheel has pins or something to keep it striaght in the truck.
 
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