My truck has a redhead.
Redhead builds a better reman box and the parts store cheap units, but they're still rebuilding using worn parts. My redhead has about 25k miles on it and is getting replaced due to movement in the sector shaft. The steering is sloppy and tends to leak out the bottom due to the shaft movement.
Perhaps a better option is the six bolt PSC upgrade, or some other "dodge box" solution. Cardone makes a converted "big bore" dodge box (like the PSC) for our trucks that can be had from $330 on amazon to $740 at NAPA. The idea is that the internals will hold up to the weight of our trucks better.
I think the negative reviews come from three places. One, they are a part of diesel power products, so their sales and tech support have the same bro-diesel boutique high markup attitude as FASS, etc. If you call them to talk to someone they are generally helpful but condescending. Their product is perfect, it must be an end user problem.
Second, lots of guys swapping boxes are at the limits of their mechanical ability. They don’t realize that the box isn’t going to fix all the other reasons their steering is sloppy on their 20 year old lifted truck with 12-wides: tie rod ends, pitman arm, idler arm, bad (leveled) geometry, intermediate shafts, column bearing, and the upper tilt joint in the column all need to be addressed on nearly 100% of these trucks.
Third is, the guys at blue top leaving bad reviews on the redhead and vice versa. Same bro-diesel competition-marketing-bash-nonsense as FASS vs air dog and Kryptonite vs Cognito on what are otherwise simple and hugely overpriced/overhyped products.
Do yourself a favor: rent/borrow/buy the pitman puller and pickle fork from the local parts store, put a big impact on it, but buy a 1-5/16” box end wrench and make sure you get that pitman on to correct torque. Then, check it periodically and resnug after the install. Oh, and put a set of moog HD idler, pitman, and idler bracket in at the same time.
Supposedly adding a power steering cooler helps the box seals, hoses, and hydroboost all last longer.