NHTSA lists 3 safety recalls and 44 owner complaints for the 2023 Acura MDX. Most complaints involve power train (12) and electrical system (8). The EPA rates it 21–22 mpg combined, and NHTSA gives it 5 stars overall.
Honda (American Honda Motor Co.) is recalling certain 2021-2025 Acura TLX, 2022-2024 Acura MDX, and 2023-2025 Pilot vehicles. The software for the electric power steering (EPS) assist may cause the EPS system to enter a failsafe mode, resulting in a loss of power steering assist.
Honda (American Honda Motor Co.) is recalling certain 2018-2021, 2023 Acura TLX, 2019-2024 RDX, 2017-2020, 2022-2026 MDX, 2017-2021, 2023, 2025 Honda Ridgeline, 2017-2022 Pilot, 2019-2021 Passport, 2018-2026 Odyssey, 2019-2022 Insight, 2019-2021 HR-V, 2018-2020 Fit, 2020-2022 CR-V Hybrid, 2017-2022 CR-V, 2017-2018, 2021 Civic Type R, 2017-2021 Civic hatchback, 2016-2020 Civic coupe, 2016-2022 Civic, 2017-2022 Accord Hybrid, and 2016-2022 Accord vehicles. The front passenger seat weight sensor may crack and short circuit, which can cause the air bags to deploy unintentionally during a crash.
Honda (American Honda Motor Co.) is recalling certain 2021-2025 Acura TLX, 2023-2025 Acura MDX, and 2023-2025 Honda Pilot vehicles. The brake pedal pivot pin was not secured properly, which can cause the pedal to shift out of position. As such, these vehicles fail to comply with Federal Motor Vehicle Safety Standard numbers 108, "Lamps, Reflective Devices, and Associated Equipment" and 135, "Light Vehicle Brake Systems."
Complaints are unverified owner reports to NHTSA and are not normalized for sales volume. One complaint can cite several components.
Complaints for each MDX model year we’ve synced.
| Model year | NHTSA complaints |
|---|---|
| 2001 | 224 |
| 2002 | 222 |
| 2003 | 212 |
| 2004 | 171 |
| 2005 | 180 |
| 2006 | 87 |
| 2007 | 99 |
| 2008 | 49 |
| 2009 | 52 |
| 2010 | 45 |
| 2011 | 70 |
| 2012 | 76 |
| 2013 | 30 |
| 2014 | 172 |
| 2015 | 71 |
| 2016 | 378 |
| 2017 | 261 |
| 2018 | 169 |
| 2019 | 193 |
| 2020 | 228 |
| 2022 | 162 |
| 2023 | 44 |
| 2024 | 41 |
| 2025 | 117 |
| 2026 | 9 |
“My vehicle developed a leak at the seal between the transfer case and transmission. I was informed that, due to the original design, this seal cannot be replaced independently. The leak can result in the loss of gear oil and transmission fluid, further transmission damage, and a loss of power to the rear wheels. Repairs involve significant expense, including replacement of damaged components, seals, and both fluids. There were no apparent warning signs other than oil puddles beneath the vehicle. Two extended warranty companies inspected the vehicle and denied coverage, stating that the manufacturer should be responsible for addressing the issue. The vehicle was taken to John Eagle Acura in Houston, Texas, for repairs involving replacement of the transmission and transfer case, along with all associated fluids and seals. I understand that this dealership has repaired other vehicles with the same issue and that similar cases have been reported nationwide. I am concerned that this may be a recurring design-related problem with potential safety implications, particularly because of the possible loss of power to the rear wheels without adequate warning. I request…”
“1) I was struck by a vehicle that ran the stop sign at 50mph. After the impact my vehicle continued rolling forward and wouldn’t stop. I ended up a block away from the accident and my emergency brake, brake pedal and center console brake would not engage. My vehicle was stopped after a car pulled up infront of me for me to rear end it to stop. Vehicle is a total loss and sitting in a tow yard. 2) I was in the vehicle with my 3 children under 7 years of age. Our safety was put at risk because If the accident would’ve happened on a main street I could’ve rolled into on coming traffic. 3) Not yet, they have declared the car a total loss and have no interest in inspecting for damage repair. 4) No 5) No failures were detected nor happening prior to accident.”
“Was exiting I275 onto Westbound Route 32 when the brakes were unexpectedly applied by the vehicle’s safety system. No vehicles were in front or beside me. Very alarming when it happened. This also happed two other times at slower speeds.”
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 FWD Auto (S10), 6 cyl, 3.5 L · Front-Wheel Drive | 19 | 26 | 22 | $3,500 | 411 |
| MDX AWD Auto (S10), 6 cyl, 3.5 L · All-Wheel Drive | 19 | 25 | 21 | $3,700 | 423 |
| 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 44 complaints with NHTSA. The most-cited components are power train (12), electrical system (8), forward collision avoidance (7). Complaints are unverified owner reports and aren't adjusted for how many cars were sold.
The EPA rates the 2023 Acura MDX at 21–22 mpg combined, depending on engine and drivetrain (2 versions rated).
NHTSA's New Car Assessment Program gives the 2023 Acura MDX 5 out of 5 stars overall.