The nv5600 is a 6 speed, the nv4500 is a 5 speed. There is another 6 speed that is called the G56 used in 06 up trucks. Both 6 speeds are very expensive to build, but they are twice as strong as the nv4500. The nv5600 has reverse all the way right & up, the G56 is on the left & up [shifter]. My brother just blew 4th gear out of his 04.5 a few months back, found a local tranny shop who built him a new unit for $1800 installed. My brother hauls 16k# quite often with his Smarty on sw1 & his foot buried in the throttle, very whiplash driving habits. The nv5600 lasted 125k hard towing/racing miles at 550hp.