RAM 2500 2019 Owner's Manual page 476

474 IN CASE OF EMERGENCY
2. Rotate the lug wrench handle counterclockwise until the
spare tire is on the ground with enough cable slack to
allow you to pull it out from under the vehicle.
Rotating The Lug Wrench Handle
3. Pull the spare tire out from under the vehicle to gain
access to the spare tire retainer.
Pulling The Spare Tire Out