NHTSA lists 3 safety recalls and 8 owner complaints for the 2019 Acura MDX Hybrid. Most complaints involve fuel/propulsion system (2) and fuel system, gasoline (1). The EPA rates it 27 mpg combined, and NHTSA gives it 5 stars overall.
Honda (American Honda Motor Co.) is recalling certain 2013-2023 Honda Accord, Civic Coupe, Civic Sedan, Civic Hatchback, Civic Type R, CR-V, HR-V, Ridgeline, Odyssey, Acura ILX, MDX, MDX Hybrid, RDX, RLX, TLX, 2019-2022 Honda Insight, Passport, 2020 Honda CR-V Hybrid, 2018-2019 Honda Clarity PHEV, Fit, and 2015-2020 Honda Accord Hybrid, Pilot, Acura NSX vehicles. The fuel pump inside the fuel tank may fail.
Honda (American Honda Motor Co.) is recalling certain 2019-2020 Acura MDX, MDX Sport Hybrid, RDX, TLX, Honda Accord, Civic Hatchback, Insight, 2019 Acura ILX, Honda Accord Hybrid, Civic Coupe, Civic Coupe Si, Civic Sedan, Civic Sedan Si, Civic Type R, Fit, HR-V, Odyssey, Passport, Pilot and Ridgeline, and 2018-2019 CR-V vehicles. The low-pressure fuel pump inside the fuel tank may fail.
Honda (American Honda Motor Co.) is recalling certain 2014-2019 Acura MDX and 2017-2019 Acura MDX Sport Hybrid vehicles. Moisture may enter the tailgate lid lights, possibly causing a loss of the tailgate lid lights and the taillights.
Complaints are unverified owner reports to NHTSA and are not normalized for sales volume. One complaint can cite several components.
“Received recall notice Feb 2024 Tried 3 times to get fixed no fuel pump available yet This is a safety recall issue and should be fixed immediately Please help expediate this urgent issue”
“The contact owns a 2019 Acura MDX Sport Hybrid. The contact received notification of NHTSA Campaign Number: 23V858000 (Fuel System, Gasoline); however, the part to do the recall repair was not yet available. The local dealer was contacted. The contact stated that the manufacturer had exceeded a reasonable amount of time for the recall repair. The manufacturer was made aware of the issue. The contact had not experienced a failure. Parts distribution disconnect.”
“The contact owns a 2019 Acura MDX. The contact stated that while driving at various speeds, the transmission experienced rough shifting and would not properly accelerate while depressing the accelerator pedal. Also, the vehicle would jerk when shifting into reverse with a whining, howling sound coming from the transmission while reversing. The vehicle was taken to the local dealer who was unable to determine the cause of the failure. The manufacturer was notified of the failure, but no assistance was provided. The failure mileage was 47,000.”
Towing, payload and dimensions aren’t in the EPA or NHTSA data, so we don’t list them.
| Version | City | Hwy | Comb. | Fuel / yr | CO₂ g/mi |
|---|---|---|---|---|---|
| MDX Hybrid AWD Auto (AM-S7), 6 cyl, 3.0 L · All-Wheel Drive | 26 | 27 | 27 | $2,850 | 330 |
| Item | Miles | Time | Note |
|---|---|---|---|
| Engine oil & filter | 5,000–10,000 mi | 6–12 months | Follow the oil-life monitor if fitted |
| Tire rotation | 5,000–7,500 mi | Every oil change | Check pressure monthly |
| Engine air filter | 15,000–30,000 mi | 1–2 years | Sooner in dusty areas |
| Cabin air filter | 15,000–25,000 mi | 1–2 years | |
| Brake fluid | — | 2–3 years | Absorbs moisture over time |
| Coolant | 60,000–100,000 mi | 5–10 years | Long-life coolants last longer |
| Spark plugs | 60,000–100,000 mi | — | Iridium/platinum plugs at the long end |
| 12V battery | — | 3–5 years | Heat shortens battery life |
3 safety recalls as of Nov 11, 2026, according to NHTSA. Recall repairs are free at a dealer. Check your VIN to see whether your car is included and whether the repair was done.
Owners filed 8 complaints with NHTSA. The most-cited components are fuel/propulsion system (2), fuel system, gasoline (1), power train (1). Complaints are unverified owner reports and aren't adjusted for how many cars were sold.
The EPA rates the 2019 Acura MDX Hybrid at 27 mpg combined, depending on engine and drivetrain (1 version rated).
NHTSA's New Car Assessment Program gives the 2019 Acura MDX Hybrid 5 out of 5 stars overall.