People in Europe tow stuff with 120 HP sedans or combis all the time. Driving a vehicle that you can't park, that's unsafe for pedestrians and burns 50% more every day just so you can tow something marginally easier on these 2 occassions a year when you need to tow something larger than a 500kg trailer makes 0 sense.

And if we're talking businesses, building crews etc. - this is what they actually need: https://img.linemedia.com/img/s/flatbed-truck-3-5t-Volkswage...

Or just a regular van more likely, cause rain is a thing.

VW crafter with dual cab uses 57% of its length for the flatbed, largest F150 - 39%. Notice how the engine fits into this tiny vedge-shaped hood.

https://i.imgur.com/KopGeTi.png

Same idea as American trucks, more cargo space, higher usable load, can be loaded from all sides, completely flat bed, no wheel cutouts, fits 6 people inside, burns less fuel. All because there's no ridiculously huge hood, wheels and engine.

Let's be honest here. American pickup trucks are not about the usability, they are about ego.