The Dysentruck is an odd truck in Retro City Rampage. It looks like a pioneer wagon, but seems to be used as a cement mixer. The truck is slow and has average strength. The Dysentruck has the same horn as the bicycle, and like the Trash Truck, Player can throw people or other objects into the the rear, but it serves as nothing more than to add points. Upon throwing a person inside, a message will pop up, saying "They Have Died of Dysentry".
This cement truck's name and resemblance of a pioneer wagon refer to the classic video game Oregon Trail, specifically the Apple II version, and the message that appears upon throwing people in the rear of the truck is also a reference to the game, as dysentery is one of the most common ways a character can die in the Oregon Trail series.