Across 25 used Acura MDXs we inspected, this model scores a little below average — average condition 57/100 vs 61 for all cars we check. Every number on this page comes from real pre-purchase inspections — cars people were about to buy and paid an independent inspector to go through point by point, engine to underbody, paint depth to error codes. Not owner surveys, not warranty statistics, not forum lore: what we actually found.
Most common faults
Share of inspected Acura MDXs where each item was flagged.
How they score
What the seller might not mention — how often we find it on this model.
Straight from recent Acura MDX reports
These MDXs are a mixed bag, and the problems pile up in the engine. Start every viewing underneath—oil leaks show up on about two-thirds—then scan for fuel-trim and live codes and check coolant and tire wear. Codes get wiped often enough that a clean dash means nothing. If you find oil on the undertray or trims out of range, treat it as a negotiation or a walk—those are the faults that keep showing up. Pay up only for a dry engine, a clean scan, and tires with life left.
Based on 25 inspections · updated Sep 22, 2026