I've used them to move, to haul furniture or copious amounts of firewood... And 2 out of the 3 I've owned have had ridiculous mileages put on them by previous owners, while still maintaining reliability as far as the powertrain is concerned (admittedly, I've had to deal with minor electric issues and obviously I've replaced some control arms and tie rods).
Thought trucks were cool when I was a kid, but now I just don't see them being practical or economical enough considering the last year of my life has involved an average of 1000 km weekly.