Like GTA 2, the Towtruck cannot be used to tow vehicles. The vehicle spawns in a variety of single colors for the cabin and the bed, and uses plain circular rims similar to the Slamvan, fitted with whitewall tires.

The vehicle can only be found in a beater condition, with rusty bodywork and faded 'Native Engines' logos on its doors. Like the 'beater' variants of the Emperor, Sabre, and Vigero, the Towtruck features a distorted horn, shared with the beater Vigero. The rear bumper is flat and has top-mounted circular tail lights on the outer sides of the bumper, but no reversing lights (like various vehicles). The rear bed carries a dedicated towing rig with dual crane arms and unusable amber beacons on the outer sides. The Towtruck is mostly comparable to the Slamvan in terms of design, having almost the same front and cab, with some alterations in the headlights, the grille and the front bumper, while having marker lights on the roof. However, the headlights and grille look like they are from a 1975-'79 Ford Econoline van, and the windshield and door tops appear to be from a 1980's Ford F-Series. The Vapid Towtruck in The Lost and Damned is depicted with an older look, resembling a Chevrolet C3100 tow truck, but looks like a 1940-1950 Ford F-100. Oddly, the Towtruck shares the same horn with the Super GT. Towtrucks are normally seen in grayish white with secondary-colored side stripes on the cab, where the upper and lower borders are actually determined by the primary color. The rear bed carries a dedicated towing rig with a functional crane arm and unusable amber lights on top. The front section bears similarities with the Bobcat, only with a slightly larger grille and slightly bulkier design.

In Grand Theft Auto: San Andreas, the Towtruck resembles a third generation Chevy C/K for the cabin shape and front end. It is only in Multiplayer, so most people who have GTA 2 have never driven it. The Tow Truck debuted in Grand Theft Auto 2 as a towing vehicle based on the chassis of a Chevrolet COE, and a cab design similar to certain large trucks in the game (including the Van, Ice Cream Van, Hot Dog Van and the G4 Bank Van) the vehicle is also available with yellow body color only.Дespite the appearances, the vehicle lacks any towing ability, unlike the Truck Cab and Truck Cab SX.

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