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The difference between the 5.0 and 5.0 HO is primarily in the firing order. The HO shares the same firing order as the 351W. You would need the cam for sure. If you are running a carb and pre computer ignition you'd just need to change the routing of the plug wires. Fuel injection would require the correct programming in the computer. I suppose it would be possible to fool the computer by re-routing the injector wiring to the appropriate injector for the HO firing order.
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