2019 Acura MDX Problems
Compared with other Acura MDX years
More complaints than typical for this model
73/100 1.7× a typical year · 50 = typical
- Complaint rate is 1.7× that of a typical Acura MDX year, weighted for crashes, fires, injuries, recalls and mileage, and allowing for the era and for how long each year has had to collect complaints.
- 32 of its 191 complaints were filed by the end of 2021.
- Most reported problem: Engine stall or loss of power / limp mode (43 complaints, median 42,000 mi).
- 9 recall campaigns on record. A VIN search at nhtsa.gov/recalls shows open recalls for a specific vehicle.
Open NHTSA investigationEngine failure
Nearby years with a typical complaint level and no open NHTSA investigation: 2022
Based only on NHTSA complaints, recalls and investigations. Not adjusted for how many vehicles were sold, and not a reliability rating. How this is calculated
- Complaints
- 191filed with NHTSA
- Median mileage
- 21,114miles, 52 complaints with mileage
- Recalls
- 9campaigns on record
- Trend
- RisingComplaints filed in the last 3 full calendar years are at least 25% higher than in the 3 years before.
- NHTSA crash rating
- 5 / 5stars overall, 2 rated versions
- EPA fuel economy
- 23 mpgcombined, 3.5L 6-cyl FWD · 20 city / 27 hwy
Sources: NHTSA records for the 2019 Acura MDX (complaints, recalls, investigations), NHTSA crash tests, EPA fuel economy. Report an error
What owners report
Owners of the 2019 MDX most often report the engine shutting down or going into limp mode, the idle-stop feature failing to restart the vehicle, and the forward collision system braking on its own. Many of these complaints were filed at low mileage, though stalling and fuel-system concerns also appear at higher mileage and are frequently tied to open recalls for the fuel pump and the engine connecting rod bearing.
- Engine
Engine stall or loss of power / limp mode
- 43 complaints (23%)
- median 42,000 mi at 3.6 yrs old (17 state mileage)
- 2 mention a crash, fire or injury
- filed 2019–2026
Owners describe the vehicle stalling, losing motive power, or dropping into limp mode while driving or accelerating, sometimes with several warning lights illuminated. Some say the vehicle could be restarted after a delay or by cycling the ignition, while others report the vehicle would not restart. Complaints note dealers often could not duplicate the failure; several mention open recalls for the fuel pump and engine bearing for which parts were not yet available. Reported from under 5,000 miles up to about 125,000 miles, at various speeds and conditions.
Recall 23V858000Recall 23V751000Recall 21V2150001 related service bulletin
What to check: Ask whether the fuel pump and engine bearing recalls have been completed and whether the vehicle has shown any stalling or limp-mode events. Request service records for any warning-light or no-start diagnoses.
2 excerpts from owner complaints in NHTSA records
“Vehicle goes into 'go limp' when I accelerate or change lanes. Very dangerous situation when passing on a two lane country road (happened twice) and merging onto a highway with a short entrance ramp. This could potentially lead to a major accident and we don't feel comfortable driving this vehicle in these situations.”
NHTSA complaint #11361064, filed 2020-09, 23,040 miles“While driving approx. 40 MPH and slowing to turn into gas station, the car completely turned off. I was unable to put car in neutral or get off of road. Tow truck called and had to be drug onto flatbed. Garage replaced battery and still unable to start. Needed to replace timing belt, tensioner pulley, water pump, engine short block and heads. Car with only 4088 miles, no s/s of issue prior to incident, etc. Garage not sure what caused issue, best guess is manufacture defect in timing belt. …”
NHTSA complaint #11182028, filed 2019-02, 4,088 miles - Forward collision avoidance
Forward collision system brakes unexpectedly
- 15 complaints (8%)
- median 12,000 mi at 1.3 yrs old (6 state mileage, few)
- 2 mention a crash, fire or injury
- filed 2019–2026
Owners describe the automatic emergency braking engaging with no obstacle in front, sometimes bringing the vehicle to a sudden stop and in one case contributing to a collision. Several say the system also beeped or pulsed the brakes while cornering. Complaints note dealers were often unable to replicate the issue and sometimes described it as normal operation. Reported from about 2,000 miles to roughly 45,000 miles, at various speeds including highway and cruise-control use.
What to check: During a test drive, note whether the collision-mitigation warning or braking activates without a clear obstacle. Ask whether the dealer has inspected or recalibrated the forward camera and radar.
2 excerpts from owner complaints in NHTSA records
“The vehicle is equipped with safety features which are designed to alert you if braking is required and to brake to avoid a collision the vehicle also has active cruise control which is designed to slow your vehicle when a vehicle enters your lane with in a pre set distance. Cruise control: while driving on the freeway using active cruise control my vehicle slowed down from 70 to 45 no vehicles entered my lane I was passed on my left by a vehicle doing 80 plus. This happened twice with in twenty minutes. …”
NHTSA complaint #11318129, filed 2020-03, 6,000 miles“The automatic collision mitigation system had a complete 100% lock up of my brakes during a cross of an intersection . Although I was wearing my seatbelt the force of the stop threw my head into the steering wheel. It is a complete miracle that the car behind me did not rear-end me. This system routinely gives false positives when going around corners when you are in the center lane and it beeps and pulses the brakes. This time, the car stopped completely and I hit my head and was lucky to not cause an accident. …”
NHTSA complaint #11292242, filed 2019-12, 18,000 miles - Transmission and drivetrain
Transmission jerking, harsh shifting or failure
- 20 complaints (10%)
- median 64,611 mi at 6.0 yrs old (8 state mileage, few)
- 1 mention a crash, fire or injury
- filed 2020–2026
Complaints describe harsh or slamming shifts, jerking during acceleration, and in some cases the transmission failing and needing replacement. Several owners report the dealer could not duplicate the problem or attributed it to fluid, while others say the vehicle lost acceleration or shifted to park while driving. Reported from about 10,000 miles up to roughly 75,000 miles, at various speeds.
What to check: Test-drive at low and highway speeds and note any harsh shifts or hesitation. Ask for transmission service records and whether fluid changes were done.
2 excerpts from owner complaints in NHTSA records
“My 2019 Acura MDX which was owned for less than two years, broke down due to a transmission failure. The vehicle had an open recall (one of many recent) delayed by Acura for months, which research shows can cause engine and transmission damage. Acura of Reno denied the recall link and misattributed the failure to “incorrect fluid,” despite admitting the fluid was correct to myself and other businesses. I believe this breakdown was directly related to the open recall and request an investigation into Acura’s handling of these failures. …”
NHTSA complaint #11682975, filed 2025-08“Transmission is constantly slamming into 4th gear and has been to the dealership 3 times. Corporate has even evaluated in and has deemed it to be within specification . The transmission is going to break down while driving and pose a safety hazard. It feels as if the mounts are going to break off when it does it.”
NHTSA complaint #11306157, filed 2020-01, 10,000 miles - Fuel system
Fuel gauge or fuel pump problems
- 34 complaints (18%)
- median 60,000 mi at 5.4 yrs old (8 state mileage, few)
- filed 2021–2026
Owners describe the fuel gauge fluctuating or reading incorrectly after refueling, and some report stalling attributed to the fuel pump. Several complaints reference the fuel pump recall and note that the failure recurred after the recall repair or that parts were not yet available. Reported from about 44,000 miles up to roughly 90,000 miles, often after refueling or at stops.
Recall 23V858000Recall 21V2150001 related service bulletin
What to check: Confirm the fuel pump recall was completed and ask whether the fuel gauge has shown erratic readings. Check for fuel odor around the vehicle after refueling.
2 excerpts from owner complaints in NHTSA records
“The contact owns a 2019 Acura MDX. The contact referenced NHTSA Campaign Number: 21V215000 (Fuel System, Gasoline). The contact stated that after refueling the vehicle and driving several miles, the fuel gauge fluctuated to empty. The contact stated that the fuel gauge would indicate the incorrect amount of the fuel in t fuel tank. No warning light was illuminated. The vehicle was taken to the dealer where the failure could not be duplicated. …”
NHTSA complaint #11482489, filed 2022-09, 44,000 miles“The contact owns a 2019 Acura MDX. 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 contact stated while attempting to drive from a complete stop at a traffic light, the vehicle stalled, nearly causing a crash. Several unknown warning lights were illuminated. The local dealer was contacted. The vehicle was not diagnosed or repaired. …”
NHTSA complaint #11625945, filed 2024-11, 90,000 miles - Engine
Idle-stop fails to restart the engine
- 17 complaints (9%)
- median 17,250 mi at 2.8 yrs old (4 state mileage, few)
- 1 mention a crash, fire or injury
- filed 2019–2026
Complaints describe the engine shutting off at a stop with the idle-stop feature active and then failing to restart when the brake is released. Owners report the vehicle becoming immobile at intersections or lights, sometimes jumping into neutral and requiring the ignition to be cycled or several minutes before it restarts. Some mention the dealer could not determine the cause. Mostly reported under about 5,000 miles, typically at stops in traffic or at lights.
What to check: Ask whether the PGM-FI software update described in the service bulletins has been applied, and test the idle-stop function at a stop during a test drive.
2 excerpts from owner complaints in NHTSA records
“The engine auto stop or idle stop is a safety hazard. The engine shuts off preventing a quick acceleration from an intersection or other hazard. The manufacture should offer a method to permanently disable this hazard.I was nearly t-boned when trying to make a lh turn at a busy intersection because the car had to start before accelerating”
NHTSA complaint #11234618, filed 2019-07, 2,500 miles“When stopped at a light or in traffic the vehicle engages the auto idle feature. (turns off the engine to save gas). Upon releasing the brake, the car should re-start, instead the car does not start. The car jumps out of the drive gear into neutral on the transmission. The electrical system goes crazy and does not allow you to either turn off the car's electrical system or re-restart the car using the car's on/off button. This has happened to me at least 5-10 times over the last year. …”
NHTSA complaint #11492321, filed 2022-11
Buying note. Check that the open recalls for the fuel pump, engine bearing, timing belt, tailgate lighting and rear brake caliper have been completed on this specific vehicle, and confirm any software updates for the idle-stop and collision systems. A test drive at both low and highway speeds can help reveal stalling, transmission or unexpected braking behavior.
Summary written with AI from a sample of 60 NHTSA complaints for this model year (picked at random, with complaints that state a mileage and recent ones taken first), then checked automatically against the source records. Where a problem shows a complaint count, every complaint for this model year was matched with fixed keyword rules (written with AI and tested against the sample), and the mileage, age and repair figures are calculated from those complaints; owners' figures are as stated, not verified. Other counts refer to the sample. The excerpts come from NHTSA's public complaint records and are unverified; capitalisation is normalised, NHTSA staff notes are removed, and shortened text ends with “…”. Something wrong? Request a correction.
NHTSA recorded 191 consumer complaints for the 2019 Acura MDX. 52 of the complaints include a mileage, and 75% of those were filed for vehicles with under 50,000 miles; the median is 21,114 miles. Of all complaints, 4 involved a crash, 3 a fire, 3 an injury, according to the filers. NHTSA lists 9 recall campaigns and 132 technical service bulletins for this model year. Compared with the other 14 Acura MDX model years that have at least 25 complaints and are old enough to compare, this one scores 73 out of 100, where 50 is a typical year for the model (more complaints than typical for this model). The comparison allows for the era and for how long each year has had to collect complaints, but not for how many vehicles were sold.
Which parts are reported most
Complaints can name more than one part, so the counts add up to more than the total. Select a part to see its complaints, recalls and bulletins.
- Engine48 25%
- Fuel system43 23%
- Electrical system42 22%
- Engine cooling30 16%
- Other or unknown25 13%
- Lane departure14 7.3%
- Vehicle speed control10 5.2%
- Brakes9 4.7%
Also reported: Visibility (wipers, defrost, mirrors) (9), Exterior lighting (5), Steering (5), Seats (3), Wheels (3), Body and structure (2), Suspension (2), Air bags (1), Tires (1).
Example complaints
Engine: “The car caught fire spontaneously in the parking area. We called 911 and the fire brigade took about an hour to get the fire under control. We had gone to chickfila (about 6 miles total distance) and the car had been parked for maybe 5 minutes when we saw a fire engulf the front portion. I put water on it while waiting for 991 response.”
NHTSA complaint #11389557, filed 2021-01, 11,000 milesFuel system: “I was driving down the highway today at 70 mph and all the lights illuminated on my MDX. It began to struggle to keep speed and eventually shut down once I was on the service road. I was extremely scared and nervous that I was going to be involved in an accident or the car was going to blow up as it started bouncing up and down while I was still on the highway.”
NHTSA complaint #11604170, filed 2024-07Electrical system: “While driving my 2019 MDX I noticed that the back-up camera was on remaining on, and I could see the road behind by vehicle. I pulled off the road and turned the car off and then restarted thinking this would correct the problem; however it did not correct the problem. I also noticed that the lights that indicate that I am backing up remain on even when the car is in park. Inside of the vehicle, the climate control isn't working. …”
NHTSA complaint #11307893, filed 2020-02, 8,300 milesTransmission and drivetrain: “Vehicle was stopped at a traffic light (transmission in Drive) and the automatic idle shutoff engaged, turning off the engine. When the traffic light turned green, the brake was released and we found that the transmission had shifted to neutral and would not shift back into Drive. We had to restart the car. Being stalled at a green light is a serious safety hazard as approaching vehicles would not anticipate my vehicle being stalled.”
NHTSA complaint #11508815, filed 2023-02Mileage when problems were reported
75% of the 52 complaints with a mileage were filed for vehicles with under 50,000 miles; the middle half falls between 4,000 and 49,000 miles.
Complaints by year filed
Trend: rising. Complaints filed in the last 3 full calendar years are at least 25% higher than in the 3 years before.
Crash test ratings
NHTSA's 5-Star Safety Ratings for the 2019 Acura MDX. Frontal results are shown driver / passenger; rollover shows the star rating and NHTSA's estimated risk of rolling over in a single-vehicle crash.
| Version | Overall | Frontal | Side | Side pole | Rollover |
|---|---|---|---|---|---|
| MDX · SUV AWD | ★★★★★ | 5 / 5 | 5 | 5 | 4 · 16.4% risk |
| MDX · SUV FWD | ★★★★★ | 5 / 5 | 5 | 5 | 4 · 16.4% risk |
Driver aids listed by NHTSA for the 2019 model year: forward collision warning standard, lane departure warning standard, automatic emergency braking standard.
Neighbouring years: 2018: same overall rating; 2020: same overall rating. A redesign between years can change both the car and the test.
Source: NHTSA New Car Assessment Program (5-Star Safety Ratings), nhtsa.gov/ratings.
Fuel economy and running cost
EPA ratings for each 2019 Acura MDX version. Annual fuel cost is the EPA's estimate at its current fuel prices for 15,000 miles a year (55% city driving).
| Version | Engine | Transmission | City | Hwy | Comb. | Fuel / yr |
|---|---|---|---|---|---|---|
| MDX AWD | 3.5L 6-cyl | 9-speed automatic | 19 | 26 | 22 | $3,750 |
| MDX AWD A-SPEC | 3.5L 6-cyl | 9-speed automatic | 19 | 25 | 21 | $3,900 |
| MDX FWD | 3.5L 6-cyl | 9-speed automatic | 20 | 27 | 23 | $3,550 |
| MDX Hybrid AWD | 3.0L 6-cyl · hybrid | 7-speed automatic | 26 | 27 | 27 | $3,050 |
Source: U.S. EPA and Department of Energy, fueleconomy.gov. Ratings are for comparing vehicles; real-world mileage varies with driving and conditions.
Recalls and investigations
- 26V365000Jun 4, 2026Suspension › RearCovers: Acura MDX 2014–2020, Honda Pilot 2016–2022, Ridgeline 2017–2023 +1 more
American Honda Motor Company (Honda) is recalling certain 2016-2022 Honda Pilot, 2017-2023 Ridgeline, 2019-2023 Passport, and 2014-2020 Acura MDX vehicles that were sold in Connecticut, Delaware, District of Columbia, Illinois, Indiana, Iowa, Kentucky…
- 26V332000May 21, 2026Air bags › Sensor › Occupant classification › Front passengerCovers: Acura MDX 2017–2020, 2022–2026, Honda Odyssey 2018–2026, Accord 2016–2022 +14 more
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…
- 25V259000Apr 17, 2025Interior lightingCovers: Acura MDX 2014–2020
Honda (American Honda Motor Co.) is recalling certain 2014-2020 Acura MDX vehicles. Moisture may enter the tailgate lid light assembly and wiring harness, which can cause the interior and exterior lights to fail, including the lid lights, position lights…
- 23V858000Dec 18, 2023Fuel system, gasoline › Delivery › Fuel pumpCovers: Acura MDX 2013–2020, Honda Accord 2013–2023, CR-V 2013–2023 +17 more
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…
- 23V751000Nov 13, 2023Engine and engine cooling › Engine › Hard parts internal/mechanicalCovers: Acura MDX 2016–2020, TLX 2015–2020, Honda Pilot 2016, 2018–2019 +2 more
Honda (American Honda Motor Co.) is recalling certain 2015-2020 Acura TLX, 2016-2020 Acura MDX, 2016 and 2018-2019 Pilot, 2017 and 2019 Ridgeline, and 2018-2019 Odyssey vehicles. Due to a manufacturing error, the connecting rod bearing in the engine may wear…
- 21V215000Mar 25, 2021Fuel system, gasoline › Delivery › Fuel pumpCovers: Acura MDX 2019–2020, Honda CR-V 2018–2019, Insight 2019–2020 +14 more
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…
See all 9 recalls for the 2019 Acura MDX → · Check a VIN at nhtsa.gov/recalls
NHTSA investigations
- PE25008Engine failureOpen · Aug 20, 2025
Technical service bulletins
TSBs are manufacturer notes to dealers about known repair procedures. They are not recalls and do not by themselves mean a vehicle has a fault. 132 on record; the latest 10 are shown.
- 11028523Jan 31, 2026Fuel system. Owner Notification Letter - Under certain circumstances, after coming to a stop and the idle stop feature engaging, the vehicle may not automatically restart. Acura is providing a product update…
- 11023136Sep 4, 2025Visibility (wipers, defrost, mirrors). Service Bulletin - An uneven sealing surface allows moisture to enter the inner taillight(s), causing one or both of the inner taillights not to work.
- 11020860Jul 9, 2025Visibility (wipers, defrost, mirrors). Service Bulletin - An uneven sealing surface allows moisture to enter the inner taillight(s), causing one or both of the inner taillights not to work.
- 11020584Jul 7, 2025Engine. Service Bulletin - Under certain circumstances, after coming to a stop and engaging idle stop the vehicle may not restart automatically due to excessive cylinder pressure and/or low cranking torque…
- 11019900Jun 5, 2025Exterior lighting. Owner Notification Letter - An uneven sealing surface allows moisture to enter the inner taillight(s), causing one or both of the inner taillights not to work.
- 11019899Jun 5, 2025Exterior lighting. Owner Notification Letter - An uneven sealing surface allows moisture to enter the inner taillight(s), causing one or both of the inner taillights not to work.
- 11017330Apr 18, 2025Visibility (wipers, defrost, mirrors). Service Bulletin - An uneven sealing surface allows moisture to enter the inner taillight(s), causing one or both of the inner taillights not to work.
- 11015014Feb 19, 2025Engine. Service Bulletin - The AWD warning light is on with one or more AWD DTCs having been set due to water intrusion into the electric oil pump motor connector area corrodes the terminals.
- 11011046Nov 22, 2024Body and structure. Service Bulletin - The AWD warning light is on potentially due to water intrusion into the rear differential pump motor connector area that corrodes the terminals.
- 11002724Jun 19, 2024Visibility (wipers, defrost, mirrors). Service Bulletin - Client complaint of A/C not blowing cold air due to oil/refrigerant leak from the A/C compressor shaft seal.
Other model years of the Acura MDX
| Year | Complaints | Median mi | Recalls | Crash ★ | MPG | Score (50 = typical) | Trend |
|---|---|---|---|---|---|---|---|
| 2026 | 9 | 1,800 | 1 | 5 | 22 | — | Too new |
| 2025 | 115 | 14,000 | 3 | 5 | 22 | Too new to compare | Too new |
| 2024 | 41 | 9,810 | 2 | 5 | 22 | Too new to compare | Too new |
| 2023 | 43 | 32,454 | 2 | 5 | 22 | 13 · Fewer | Too new |
| 2022 | 158 | 60,000 | 2 | 5 | 22 | 51 · Typical | Rising |
| 2020 | 226 | 44,500 | 8 | 5 | 23 | 69 · More | Rising |
| 2019 | 191 | 21,114 | 9 | 5 | 23 | 73 · More | Rising |
| 2018 | 169 | 40,000 | 10 | 5 | 23 | 50 · Typical | Rising |
| 2017 | 260 | 37,000 | 8 | 5 | 23 | 75 · More | Rising |
| 2016 | 377 | 37,884 | 7 | 5 | 23 | 94 · More | Rising |
| 2015 | 71 | 23,000 | 8 | 5 | 23 | 52 · Typical | Rising |
| 2014 | 172 | 23,412 | 8 | 5 | 23 | 86 · More | Stable |
| 2013 | 30 | 50,000 | 1 | 4 | 18 | 0 · Fewer | Falling |
| 2012 | 76 | 62,500 | 1 | 4 | 18 | 0 · Fewer | Falling |
| 2011 | 70 | 66,000 | 0 | 5 | 18 | 0 · Fewer | Falling |
| 2010 | 45 | 67,000 | 1 | — | 18 | 0 · Fewer | Rising |
| 2009 | 52 | 55,000 | 0 | — | 17 | 0 · Fewer | Falling |
| 2008 | 49 | 40,000 | 0 | — | 17 | 0 · Fewer | Falling |
| 2007 | 99 | 92,500 | 0 | — | 17 | Not compared (before 2008) | Falling |
| 2006 | 87 | 76,000 | 9 | — | 17 | Not compared (before 2008) | Falling |
| 2005 | 180 | 82,197 | 11 | — | 17 | Not compared (before 2008) | Falling |
| 2004 | 171 | 94,000 | 8 | — | 17 | Not compared (before 2008) | Stable |
| 2003 | 206 | 108,000 | 11 | — | 17 | Not compared (before 2008) | Falling |
| 2002 | 205 | 98,000 | 4 | — | 17 | Not compared (before 2008) | Falling |
| 2001 | 224 | 100,000 | 4 | — | 17 | Not compared (before 2008) | Falling |
All Acura MDX model years · Best and worst years by complaints
Frequently asked questions
What are the most common problems with the 2019 Acura MDX?
Owners of the 2019 MDX most often report the engine shutting down or going into limp mode, the idle-stop feature failing to restart the vehicle, and the forward collision system braking on its own. The issues reported most often: Engine stall or loss of power / limp mode; Forward collision system brakes unexpectedly; Transmission jerking, harsh shifting or failure.
How many NHTSA complaints does the 2019 Acura MDX have?
NHTSA recorded 191 consumer complaints for the 2019 Acura MDX as of Oct 29, 2026. Complaints are unverified consumer reports and may be duplicated or inaccurate.
What part of the 2019 Acura MDX is reported most often?
Engine is named most often, in 48 complaints (25% of the total), followed by fuel system with 43.
Has the 2019 Acura MDX been recalled?
NHTSA lists 9 recall campaigns for this model year. To check a specific vehicle, enter its VIN at nhtsa.gov/recalls.
How did the 2019 Acura MDX do in NHTSA crash tests?
NHTSA's 5-Star Safety Ratings give the 2019 Acura MDX 5 out of 5 stars overall, across 2 rated versions (body style and drive). Ratings from different model years are only comparable when the vehicle was not redesigned in between.
What gas mileage does the 2019 Acura MDX get?
The EPA rates the 2019 Acura MDX (MDX FWD, 3.5L 6-cyl) at 23 mpg combined, 20 city and 27 highway, with an estimated annual fuel cost of $3,550 at 15,000 miles a year. Other engine and drive versions are rated differently.
At what mileage are problems with the 2019 Acura MDX reported?
Among the 52 complaints that include a mileage, the median is 21,114 miles and the middle half falls between 4,000 and 49,000 miles; 75% were filed for vehicles with under 50,000 miles.
About this data. Data from NHTSA (ODI) complaints, recalls, TSBs and investigations, updated Oct 29, 2026. Complaints are unverified consumer reports and may be duplicated or inaccurate. Crash ratings are from NHTSA’s New Car Assessment Program. Fuel economy is from the EPA and DOE (fueleconomy.gov).
Complaint counts come from NHTSA’s public complaint database; we count each complaint once. The source records for this vehicle are on nhtsa.gov. Scores and trends are our own summaries of that data, described in the methodology. This page is not legal, safety or repair advice: for a specific vehicle, check its VIN at nhtsa.gov/recalls and ask a qualified mechanic. See an error? Tell us.