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Hey, I'm Dusty, an auto expert with RepairPal's Car Genius team, and I'm here to help! If your F-150 makes a ticking noise, has a rough idle, and makes a winding sound when accelerated, it could indicate several issues, such as a cracked exhaust manifold, a failing lifter, a worn timing chain or chain guides, or valvetrain issues. Given that you've been experiencing this problem for a couple of years, it's essential to have a professional inspect your vehicle to diagnose the issue properly. They'll be able to pinpoint the source of the noise and rough idle, ensuring your F-150 runs smoothly again. Ignoring the problem could lead to more significant issues down the road, so it's crucial to get a proper diagnosis. If you have any other questions or would like help finding a RepairPal Certified shop in your area, call us! 877-913-1554