Base Engine Misfire With Abnormal Valve Train Noise

WARNING: This page is about a different car, the 2018 Chevrolet Suburban 3500 HD. However, it is still accessible from the selected car via links, so may be relevant.

Cause	Correction
Worn or loose rocker arms The rocker arm bearing end caps and/or needle bearings should be intact within the rocker arm assembly.	Replace the valve rocker arms, as required.
Worn or bent pushrods	Replace the pushrods. Inspect the top of the pistons for valve contact. If the top of the piston shows valve contact, replace the piston and pin assembly.
Stuck valves Carbon buildup on the valve stem can cause the valve to not close properly.	Repair or replace, as required.
Excessively worn or mis-aligned timing chain	Replace the timing chain and sprockets, as required.
Worn camshaft lobes	Replace the camshaft and valve lifters.
Sticking lifters	Replace, as required.
Cut or damaged oil pump screen O-ring seal which may cause aeration of the engine oil	Repair, as required. Refer to Oil Pressure Diagnosis and Testing .
Improper operation of the camshaft position (CMP) actuator and/or control system	Repair, as required. Refer to Camshaft Position Actuator and Solenoid Valve Diagnosis and Testing .