99 Ford F250 will only reverse. If change gear to drive, it is powerless. What is wrong?

If I change it to drive, it does nothing, if I step on the gas pedal, it will move slowly or sometimes no even moving. Reverse is fine, working great.

Low fluid, clutches burned, inadequate cooler.Internal hard part failed. Check for service codes yourself if you want, but it's best to just take it to the trans man.
If it was low, find the leak, get it evaluated for what's now in the pan. As far as internal failure evidence.

Being a 99, most likely the transmission has failed, the fluid pumps have died from age.

Check trans

Internal transmission issue (clutch packs burnt or bands)

You need a new tranny. Bans are stretched and most likely the clutches are worn out also.

Reverse works fine because it is totally hydraulic. Older trucks had hydraulic first gear, which would allow you to get around slowly. The newer ones (after 93-95 depending on make/model) had bands and clutches on all forward gears. Sorry but your looking at about $1800 to get it going again.

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