Taking ten thousandths off with no way to put it back via thicker gaskets screws the whole operation up. Typically the heads aren't too bad on the 6.0L unless the engine roasted, this one did not but was purging coolant under hard acceleration and putting fuel into the coolant more or less constantly (separate issue, it also had a leaking injector cup on the bank opposite the blown gasket).
The whole malfunction with an otherwise decent engine design is Ford's engineering stupidity by spec'ing a coolant which is wholly unsuitable for the job. They did and still do recommend a silicate-enhanced formulation to reduce cavitation pitting of cylinder walls on the coolant side, but these things also have EGR coolers and engine oil coolers nested in the engine valley. What happens is the coolant gets so hot in the EGR cooler that the silicates precipitate out of solution and form little white, sandy beads that physically clog up the passages of both coolers. The EGR cooler, thus unable to exhange sufficient heat, cooks down and ruptures internally. Coolant then weeps into the intake manifold through the EGR valve and gets ingested into the cylinders causing steam explosions which no head gasket or head bolt can withstand.
Our fix is to replace the head gaskets after checking both block, heads, and cylinder walls for warpage or broken rings, replace the oil cooler, radiator, valley screen for the HEUI oil pump, all gaskets and seals including injector and high pressure oil log seals, install an aftermarket "Bullet Proof" EGR cooler, bead-blast the rusted-stuck annular ring in the variable displacement turbo, and finally put a nitrate-based HD truck coolant in the system. We don't mess with head studs unless the customer insists because the head bolts are more than adequate IF no steam explosions are taking place within the cylinders (studs won't help this anyway, the head in the photo I posted had ARP studs installed previously...and same OEM-recommended coolant and OEM EGR cooler that caused the problem in the first place). The only other issues we see with these engines are the injectors which have a less than 200K mile lifespan (typical of all modern light Diesels, enjoy your $4,000 200K tune-up!) and more or less chronic high-pressure oil leakage due nitrile seals in a very hot environment having to hold several thousand PSI. Stuff wears out or cooks to death very quickly, especially in the hot working states where these trucks are run very hard every day.
I left out the part about 6.0L Navistar FICM transformer failures....I'll let S Mac rant about those!