Car and Driver's rankings are based on our extensive instrument testing of hundreds of cars every year and the subjective perceptions gained by professional editors in real driving environments. We ranked the best hybrid pickup trucks based on approximately 200 data points covering acceleration, handling, comfort, cargo space, fuel efficiency, value for money and driving pleasure. We take rankings very seriously because we know that cars are an expensive and important purchasing decision. The list includes compact, medium and full size pickup trucks, but they all feature hybrid systems.