The best replacement for fifth wheel hitch is gooseneck.

The best alternatives to fifth wheel hitch are rated as following:
★★★★★  gooseneck
★★★  gooseneck hitch
★  sliding hitch

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Speaking about fifth wheel hitch, one probably shouldn't forget about bed liner.

Other search terms related to fifth wheel hitch and their ratings are:
★★★★★ bed liner
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