The 2 stroke crosshead engine works on exactly the same principle and cycle as the 2 stroke trunk piston engine.
The disadvantages of the two stroke trunk piston engine are that although it has a low overall height, lubricating oil splashed up from the crankcase to lubricate the liner can find its way into the scavenge space, causing fouling and a risk of fire. There is also the likelihood of liner and piston skirt wear, allowing air into the crankcase. This can supply the required oxygen for an explosion should a hot spot develop. The crankcase oil must have additives which can cope with contamination from products of combustion, and the acids formed during combustion due to the sulphur in the fuel.
The most powerful diesel engines in the world are two stroke crosshead engines. Some of these engines have cylinder bores approaching 1metre with a stroke of over 2.5 metres. The crankshaft can weigh over 300 tons, with the engine weighing in excess of 2000 tons