I run 35's on my PW and keep the stock (33") spare under the bed in stock position, just in case. I am not willing to give up any bed space for a spare, don't want a tire gate. A 33 mounted on the front axle will get me back to civilization if I can't patch the 35s in the boonies. I would never go off road without a usable spare, just too risky. And, yes, I carry tire patch, inflator/sealer, OBA. Be prepared.
This is kind of what I'm thinking. Just put a cheap 35 on the 18" stock spare wheel and stuff it in there. The actual diameter of a 35" inflated to max pressure and a 37 at the 45ish psi i run my fronts can't be a ton. I carry a bottle jack with Safejack adapters and a compressor so I could just pump that 35 up to max to depress the effective diameter differential and head on into town. Discount Tire can get a 37" Toyo to anywhere in the country in a day or so.
This is essentially what you'd need to do anyway. If you aren't comfortable traveling without a spare, then you'd need to source a replacement 5th tire before you drove a few thousand miles home.