A "real" 5th wheel cannot move side to side in relation to the truck on the hitch. Since the gooseneck has a ball, it can move in any direction. RV 5th wheel hitches will allow side to side movement to an extent. In general a 5th wheel is more stable for on road use and a gooseneck could be for offroad, oil fields, etc. because it allows more travel and allows travel in all directions.