Ford E-350 Problem Report
Ford E-350 Runs Rough, Lack of Power, No Start, Hard Start - Diesel
Internal issues with the Fuel Injector Control Module (FICM) can cause the engine to run rough, lack power, not start, or it may be hard to start. The FICM should be inspected for proper software revision and internal function. To repair, update the software, replace internal parts, and / or replace the entire FICM as needed.