I've done plenty of clutches in my driveway.
With 4x4 I remove both sticks, the plate on the tunnel and the transmission mount.
Then after dropping the driveshafts I use my floor jack and a ratchet strap to pull the gearbox+transfer case back onto the crossmember, until it's wedged under the cab.
Depending on your exhaust you may have to remove one (or both) headpipes.
If the flywheel isn't all scored up or covered in blisters you can get away with breaking the glaze with carbide paper or emery on a block.
You usually have enough room to get the pilot bearing puller in there.
Jim,
Lil'Red is a '87 F250 HD, 4.10's, 1356 4x4, Zf-5, 3G, PMGR, Saginaw PS, desmogged with a Holley 80508 and Performer intake.
Too much other stuff to mention.