Yes on a stock box you can leave an elbow off and go straight out the side , rear exhaust is a cakewalk if you know the tricks,
Cut your hole where you want it in the back with a hole saw, get a die grinder and a cupped wire brush, insert an air hose into a piece of PVC pipe, I forget the size but it's just big enough for the die grinder to fit into and it will depress the trigger when you push it into the pipe, you then use it to cut the foam out of the way all the way to the bulkhead, you will know when you hit it.
Cut your hole in the bulkhead where you want it , install whatever kind of tube you are using for the exhaust, PVC, ABS , Aluminum will all work. , seal the tube at the bulkhead, stand the ski on the nose and pour in pour foam around the tube, cut it off after it cures and glass up around the tube, I have done a bunch of them this way.
The one in the pic on my X2 has an aluminum resonator buried in there.