No...but alot depends on where its blown. Is it blown between cylinders or is it blown into the water passages or into the valley? Between cylinders the engine will be down on power with 2 weak or dead cylinders. Bad to run in this condition as the flame front will burn the block and head making the block and head usless unless you can weld cast iron. Blown into the water passages, the engine will go thru coolant like its pouring on to the ground. Blown into the valley see above "between cylinders"....same deal. Also look for water in the oil. Anyway you look at it you are doing gaskets or more in the very near future. Keep running it and you will be in the market for a new engine or another truck.