Do you have to have a special license to drive a tow truck?

No, not in most cases or not in most states. Some states do require a CDL be obtained if the tow truck reaches a certain size or weight.

Yes, you need a special commercial drivers license (CDL) to drive a tow truck, which can be obtained from your local DMV. Some states also require an additional special license or permit for tow truck drivers. You can get information at your DMV or your Secretary of State.