If you have to use your non-winter tire spare with three winter tires for a minute while you fix or replace the fourth winter tire, youโll be fine. Obviously your snow performance will be compromised.
The total rolling diameter of the tire is what matters here. If you put a tire on your truck that has a non-trivially different diameter than the others, your system will detect the difference in rolling speed and may interpret that as wheel slippage, which could provoke it to respond in ways you donโt want.
The stock 20โ set and the stock 18โ set are almost exactly the same diameter due to differences in sidewall height on the tires. So no problem.