Does this bolt directly to factory mounting points?

Yes. This header mounts at factory rocker points — no drilling or custom brackets needed. Hand-tight fit, then torque per your service manual.

Will I need a new exhaust manifold gasket?

You'll want a fresh gasket for the best seal. The header will mate to your existing downpipe and cat, so measure before ordering to confirm clearance.

Does this come with studs or bolts?

The assembly includes the header only. You'll use your truck's existing fasteners at the mounting points — no hardware kit included.