Does this bolt directly to my truck or do I need to drill holes?

Mounts at factory attachment points — no drilling needed. Bolt it down with the hardware provided and you're done.

Will this step hold my weight getting in and out of the cab?

Yes, it's engineered as a functional entry step. The 5" platform and hard construction support standard use for entry and exit.

What condition does it ship in — raw, primed, or painted?

The step ships ready to install. If you want a custom color match, prep and paint before mounting to avoid corrosion at cut edges.