freetrackHead tracking should work automatically. If it doesn't respond, check the game's settings for a TrackIR or head tracking option that may need to be enabled.
A known issue in SCS titles: if the in-game camera stops following your mouse after you exit LookPilot, restart the game - mouse-look returns. Keeping LookPilot running for the whole session avoids it entirely.
If you want to stop using head tracking and hand camera control back to the mouse permanently, set uset g_trackir back to "0" in ../Documents/American Truck Simulator/config.cfg (edit with the game closed). Set it to "1" again when you next want head tracking.
The most common ATS complaint. Three things fix nearly all of it: put the webcam dead-center under or above your monitor (not off to the side), recenter with Alt+C while sitting in your natural driving posture, and add a small center plateau to the yaw curve in Settings -> Tracking so highway posture drift does not accumulate into the camera.
Shaky or twitchy tracking is the most-reported issue across all games, and it almost always traces to the camera picture, not the game:
If your wheel or stick misbehaves while LookPilot runs (stiff force feedback, lost input), update LookPilot first - a past version caused stiff force feedback on some wheels and was fixed in an update. Then make sure the output protocol is freetrack rather than virtual joystick - the virtual joystick device can conflict with some wheel drivers. ATS reads the FreeTrack protocol directly, so the virtual joystick is not needed.
Do I need TrackIR hardware? No - ATS reads the FreeTrack protocol, which LookPilot provides from a normal webcam. Together with ETS2, ATS makes up roughly two thirds of all LookPilot tracking hours, so the truck-sim path is the most battle-tested in the app.