Yes, I have a standard trans. But as you said before, to each his own. The first Cummins I ever drove was my father's. It is a 1990 Dodge D350 with 354 gears. We loved the way it pulled with those gears and got great mileage (for a truck). When I bought my 95 new, I opted for the 4. 10s thinking it would be better for pulling. Top speed was just under 85 and best mileage was 18.
I changed my gears after 150,000 miles to the 3. 54s as I was fed up with the low top speed here in Southern Ca. The added bonus was the best fuel mileage empty was 24. 5. At about the same time, I added the larger exhaust and TST #5. At that point, my pulling and drivability was better than it was before. As I said before, my fifth wheel is 11,500 lbs and I am happy with the pulling up steep grades. I can do 60mph uphill with no issues. I also drive in the twisty mountain roads here as well. When I mention my top speed, it is in reference to being on the highway with no trailer. When pulling, I usually stick to the speed limits on the highway, it's less stressful if you aren't trying to speed with a trailer. With a Class A license in CA, the potential ticket isn't worth it either.