Last updated: 2026-10-10

2019 Acura MDX Reliability Report
The 2019 Acura MDX has a good reliability standing, but stalling and failed restarts after auto start/stop are its main risk.
Recalls
9
Complaints
175
Complaint Rate
33.8per 10,000 sold
Est. Repair Cost
$571
Annual Fuel Cost
$3,000–$3,300
Detailed Score Breakdown
Component-weighted complaints normalized by sales volume
Independent repair cost ratings
Recall count weighted by severity
Breadth of reported problem categories
The Verdict
Ranks among the weaker MDX years, with owner reports of stalling, failed restarts after auto start/stop, and engine recall repairs delayed by missing parts.
Top Issues to Watch
- ENGINE AND ENGINE COOLING (29)
- ELECTRICAL SYSTEM (28)
- POWER TRAIN (28)
Generation & Refresh (US)
2019 is 2 years after the facelift refresh.
- Year 6 in the Third generation (YD3/4/7; 2014) (2014–2020).
- Well-established in its generation — most early issues should be resolved.
- 3rd generation MDX (US).
What this means for buyers
Post-refresh years tend to be among the most refined — updates have been applied and early kinks worked out.
2014: Third generation (YD3/4/7; 2014) Launch
Generation start — new platform.
2017: Mid-Cycle Refresh
Updated features and styling tweaks.
2019: This Model Year
2019 is 2 years after the facelift refresh.
Should You Buy the 2019 Acura MDX?
Reliability standing is good, but this is not the strongest MDX. Against other 2019 SUVs it rates below average, and it sits among the weaker of the eight scored MDX years. The 2018 and 2020 models rate about the same, so neither is a clear escape. Independent repair-cost data puts model-wide yearly repair spending well under the class figure.
The worst complaint is a car that dies and will not restart after auto start/stop shuts the engine off. The transmission drops into neutral and the car sits dead at intersections. One rear-end crash is reported. Owners also describe sudden power loss or limp mode, mostly between 42,000 and 67,150 miles, and jerky shifting or gear slipping as early as 12,000 miles. Many complaints concern the connecting rod bearing recall, with dealers lacking parts for a year or more. The fuel system recall is often open on the same car. One owner reports smoke and flames under the hood.
Before buying, run the VIN for open recalls and confirm the engine and fuel system work is done. Ask for service records showing any restart or stalling repairs.
Compared to the 2020 Acura MDX, which scored 2 points lower. See also the 2018 Acura MDX for an earlier comparison.
Pros
- +Acceptable reliability score
- +$236 cheaper to maintain than avg luxury midsize SUVs
- +Low major repair risk (8%)
Cons
- −Above-average recall count
- −Above-average complaint rate for SUV
- −ENGINE AND ENGINE COOLING: Most of these reports are about the connecting rod bearing recall and the wait... (29 complaints)
Compare 2019 Acura MDX With
Common Problem Categories
Safety
LOW RISK- 9 manufacturer recalls issued
Other
HIGH RISK- ENGINE AND ENGINE COOLING (29)
- ELECTRICAL SYSTEM (28)
Recall Overview
9
recalls on record
The 2019 Acura MDX has 9 recalls on record, which is above average. A high count can flag multiple component concerns, though it also shows the manufacturer is actively addressing known issues.
NHTSA.gov →Complaint Breakdown
33.8
per 10,000 soldSegment avg: 21.2
Safety Incidents
4
Crashes
3
Fires
3
Injuries
0
Deaths
NHTSA 5/5 Stars
Data sourced from NHTSA complaint filings and manufacturer recall notices. Complaint narratives are owner-reported.
2019 Acura MDX Recall Details
9 recalls have been issued for the 2019 Acura MDX. All recall repairs are performed free of charge at authorized dealerships.
FUEL SYSTEM, GASOLINE
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.
Consequence
Fuel pump failure can cause an engine stall while driving, increasing the risk of a crash.
Remedy
Dealers will replace the fuel pump module, free of charge. Owner letters were mailed September 6, 2024. Owners may contact Honda customer service at 1-888-234-2138. Honda's numbers for this recall are KGC and KGD. This recall is an expansion of NHTSA recall numbers 21V-215 and 20V-314.
EXTERIOR LIGHTING, INTERIOR LIGHTING
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, license plate lights and taillights.
Consequence
Vehicle lights that fail to illuminate can decrease visibility and increase the risk of a crash.
Remedy
Dealers will inspect the wiring and install a fuse harness, replace the lid light, and repair the body dust sealer, as necessary, free of charge. Owner notification letters were mailed May 30, 2025. Owners may contact Acura's customer service at 1-800-382-2238. Acura's number for this recall is FLI. Vehicles included in this recall that were previously repaired under NHTSA recall number 19V-256 will need to have the new remedy completed.
ENGINE AND ENGINE COOLING
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 and seize, damaging the engine.
Consequence
A damaged engine may run improperly or stall while driving, increasing the risk of a fire, crash, or injury.
Remedy
Dealers will inspect and repair, or replace the engine as necessary, free of charge. Owner letters were mailed March 28, 2024. 2016-2017 Acura MDX owner letters were mailed November 1, 2024. 2016-2020 Acura MDX owner letters are expected to be mailed in mid-December 2024. Honda began mailing owner notification letters as of March 18, 2024. 2015-2016 Acura owner letters are expected to be mailed mid-December 2024, 2018 Acura TLX owner letters are expected to be mailed the end of March/early April 2024, 2019 Acura TLX owner letters are expected to be mailed mid-May 2024, 2020 Acura TLX owner letters are expected to be mailed mid-June 2024, and 2016-2020 Acura MDX owner letters are expected to be mailed January 27, 2025. Owners may contact Honda customer service at 1-888-234-2138. Honda's numbers for these recalls are XG1 and GG0.
Buying a used 2019 Acura MDX? Check its history first
Engine and engine cooling problems lead owner complaints about the 2019 Acura MDX, and 9 recalls were issued for it. A VIN check shows whether this car's recall work was done, plus accident, title, and odometer history.
- Accidents
- Open Recalls
- Title History
- Odometer Rollback
2019 Acura MDX NHTSA Safety Ratings
Overall Safety Rating
Crash Test Results by Configuration (expand)
Gas Powertrain
Rollover risk: 16.4%
Safety Technologies
HEV Powertrain
Rollover risk: 16.4%
Safety Technologies
Acura MDXRepair Costs & Maintenance
Maintenance Rating
4Maintenance rating: 4 out of 5Based on NHTSA complaint patterns, recall severity, and publicly available cost benchmarks.
Est. Annual Maintenance
$571
vs $807 avg for luxury midsize SUVs
vs $652 avg for all vehicles
Repair Frequency
0.4
unscheduled repair visits per year
Severe Repair Probability
8%
chance of a major repair
Annual Cost Comparison
Category-level averages derived from publicly available industry reports (AAA, CarMD). Model-level estimates produced by Auto Reliability Index.
Acura MDX Resale Value
The Acura MDX is estimated to retain about 56.9% of its original value after 5 years, based on observed used-car listings.
This benchmark covers the Acura MDX model overall and is not specific to the 2019 model year.
- Value Retained
- 56.9%
- Depreciation
- 43.1%
- Listings Analyzed
- 154
after 5 years
over the same period
U.S. used-car listings
Listings observed in . This is a historical market benchmark, not a current price quote.
Explore Acura MDX depreciation and resale value on CarResaleValue.comMPG & Annual Running Costs
Gas
21–23 MPG
Running cost: $3,550–$3,850/yr
Fuel + repair
19–20 city / 25–27 hwy MPG
Hybrid
27 MPG
Running cost: $3,100/yr
Fuel + repair
26 city / 27 hwy MPG
Running cost includes EPA fuel-cost estimate and independent repair-cost data (repair cost estimated at model level). Excludes routine maintenance, depreciation, and insurance. Data as of 2019 EPA label cycle.
Gas trims
| Trim | Drive | Trans. | City | Hwy | Comb | Fuel Cost |
|---|---|---|---|---|---|---|
| MDX FWD 3.5L 6-cyl | Front-Wheel Drive | Automatic (S9) | 20 | 27 | 23 | $3,000 |
| MDX AWD 3.5L 6-cyl | All-Wheel Drive | Automatic (S9) | 19 | 26 | 22 | $3,150 |
| MDX AWD A-SPEC 3.5L 6-cyl | All-Wheel Drive | Automatic (S9) | 19 | 25 | 21 | $3,300 |
Hybrid trims
| Trim | Drive | Trans. | City | Hwy | Comb | Fuel Cost |
|---|---|---|---|---|---|---|
| MDX Hybrid AWD 3.0L 6-cyl | All-Wheel Drive | Automatic (AM-S7) | 26 | 27 | 27 | $2,550 |
Used Buying Checklist
Key things to inspect or verify before purchasing a 2019 Acura MDX.
Run the VIN through federal recall records and confirm the connecting rod bearing and fuel pump recalls are completed.
Sit through several red lights with auto start/stop on and confirm the engine restarts and pulls away in drive.
Listen for engine knocking or ticking at idle and under acceleration, and walk away if you hear it.
Accelerate from a stop and at highway merge speed, feeling for slipping, hard shifts, or delayed response.
Start the car cold and watch for emissions, parking brake, SH-AWD, or driver-assist warning lights.
Drive in traffic with collision mitigation on and watch for braking when nothing is ahead.
Look through the windshield near both front pillars for wavy or distorted views.
Ask for records of timing belt, transmission, transfer case, or rear differential repairs.
2019 Acura MDX Common Problems by Component
175 owner complaints grouped by vehicle system.
ENGINE AND ENGINE COOLING
29 complaintsSafety-relatedMost of these reports are about the connecting rod bearing recall and the wait for parts to fix it. Many owners say dealers had no parts and the delay went past a reasonable time. The fuel system recall is often open on the same car. Fewer reports describe actual failures: engine noise, a fuel smell, jerky shifting, stalling with a transmission failure message, and no restart after auto start/stop. One report describes smoke and flames under the hood while driving. A leaking timing belt tensioner turns up near 35,000 miles.
ELECTRICAL SYSTEM
28 complaintsSafety-relatedAfter auto start/stop shuts the engine off, it may not restart. The transmission drops into neutral and leaves the car stuck at intersections. Dealers have tried a new battery, a software update, and a fuel pump without a lasting fix. Another common pattern is a burst of warning lights all at once for emissions, the electric parking brake, and SH-AWD, sometimes with a low-voltage code. Several owners report stalling while driving, including at highway speed, as power steering and other electronics cut out. Infotainment screens also go black. One report describes smoke coming from the dash.
POWER TRAIN
28 complaintsSafety-relatedThe most dangerous pattern here is a failed restart after auto start/stop. The transmission slips into neutral and the car sits dead in traffic, and one rear-end crash is reported. Other complaints describe jerky or hard shifts, gear slipping, and slow throttle response, with reports at 12,000 and 44,318 miles. Several owners report sudden power loss or stalling at highway speed, some with the connecting rod bearing recall still open. A timing belt that jumped time, a failed transfer case full of metal debris, and corrosion in the rear differential oil pump also appear.
ENGINE (14 complaints)
ENGINE
14 complaintsSudden power loss and stalling lead these reports, sometimes on the highway with no warning light. Some cars drop into limp mode. One failure was traced to a rocker arm oil pressure switch. Engine knocking also shows up, and owners report replacing a cylinder head or the whole engine. Many complaints are about the connecting rod bearing and fuel pump recalls, with dealers saying parts have been unavailable for more than a year. Failure to restart after auto start/stop is another repeated complaint, and new batteries and software updates have not cured it.
FORWARD COLLISION AVOIDANCE (9 complaints)
FORWARD COLLISION AVOIDANCE
9 complaintsAutomatic emergency braking slams on with nothing ahead, sometimes at highway speed. The car stops abruptly and drivers report close calls with traffic behind them. Dealers often cannot reproduce it, and one case appears at 41,000 miles. The second pattern is a failing front camera. It sets off warnings for adaptive cruise, lane keep assist, road departure mitigation, collision mitigation, and auto high beams, then shuts those systems off. Owners describe the camera as an out-of-pocket repair. One quote was $900 for the part and $1600 for installation and calibration.
FUEL SYSTEM (9 complaints)
FUEL SYSTEM
9 complaintsNearly every report is about the fuel system recall, which other complaints tie to the fuel pump, and the lack of parts to complete it. Owners say dealers had no parts and the wait went past a reasonable time. A few reports describe real failures. One car stalled pulling away from a light near 90,000 miles. Another shifted into park while driving, with an EVAP leak near 88,000 miles, and the problem came back after the recall repair. One unrelated complaint describes a dimming instrument panel.
VISIBILITY/WIPER (7 complaints)
VISIBILITY/WIPER
7 complaintsOptical distortion in the windshield near both front pillars dominates these reports. Through those areas, cars and pedestrians look wavy or bent. Owners say this causes dizziness, nausea, and trouble judging traffic at turns and intersections. Complaints come from buyers of new and just-purchased cars. Other reports describe a sunroof that shattered while driving with nothing hitting it. Another describes a rear camera image that turns blurry at night, which dealers could not reproduce in daylight.
VEHICLE SPEED CONTROL (6 complaints)
VEHICLE SPEED CONTROL
6 complaintsSafety-relatedThe most serious pattern is unintended acceleration, both at low speed in parking areas and while slowing for lights. One report describes the car speeding up despite braking and hitting several vehicles, with injuries. Other owners describe the opposite problem: no power when trying to pass, or adaptive cruise slowing hard with no car ahead. Some engines shut off at speed with no warning light, including one case near 42,000 miles. Dealers usually cannot duplicate these failures.
SERVICE BRAKES (5 complaints)
SERVICE BRAKES
5 complaintsSafety-relatedAutomatic braking that kicks in with no obstacle ahead appears repeatedly. Some owners say it happens more often over time, and one dealer called it normal behavior. Other reports describe a brake pedal that turns very stiff after the car sits for a few hours, and a pedal stuck down with a grinding noise and the brake light on. In one low-speed case the pedal did not respond and the car hit a pole, near 37,000 miles.
WHEELS (3 complaints)
WHEELS
3 complaintsSafety-relatedFactory wheels cracking at low mileage in normal driving is the clearest structural concern in this small group of reports. The others do not share a pattern. One describes the car accelerating on its own while braking in a drive-through, then hitting a curb and damaging a front wheel. Another says the tire sealant and compressor kit failed to fix a roadside flat, leaving the family stranded until help arrived.
When Do 2019 Acura MDX Problems Start?
Based on owner complaint patterns, here's when common issues tend to appear.
Best & Worst Acura MDX Years
Best Acura MDX Years to Buy
Based on reliability index scoreAcura MDX Years to Avoid
2020
2019
(Current Model)
Acura MDX Reliability Score Trend
Scores 0–100. Higher is better. Current year highlighted.
| Year | Score | Rating |
|---|---|---|
| 2018 | 64/100 | Good |
| 2019 | 64/100 | Good |
| 2020 | 62/100 | Good |
| 2022 | 73/100 | Good |
| 2023 | 79/100 | Good |
| 2024 | 79/100 | Good |
| 2025 | 76/100 | Good |
| 2026 | 79/100 | Good |
Acura MDX Reliability Compared to Other Years
2019 Acura MDX Reliability by Powertrain
The 2019 Acura MDX is available with 2powertrain options. Here's how they compare on reliability.
| Powertrain | Complaints | Recalls | Incidents* | Crash Rating |
|---|---|---|---|---|
| Gas | 167 | 7 | 7 | 5 out of 5 |
| HEV | 8 | 2 | 0 | 5 out of 5 |
| Total | 175 | 9 | 7 |
NHTSA tracks complaints by vehicle configuration when that detail is available. Model-level reports that do not identify a specific powertrain are included in Total but not assigned to a row. A plus sign indicates a confirmed minimum; — means no complaints could be attributed to that specific powertrain. N/T = Not tested by NHTSA.
* Incidents = crash + fire reports. A single complaint can include multiple incident types.
Frequently Asked Questions
Is the 2019 Acura MDX reliable?
What are the most common problems with the 2019 Acura MDX?
Does the 2019 Acura MDX have stalling problems?
How many recalls does the 2019 Acura MDX have?
Is the 2019 Acura MDX cheaper to repair than other SUVs?
Don’t buy a 2019 Acura MDX without checking its VIN first — hidden accidents, title issues, and open recalls could cost you thousands.
How we score the 2019 Acura MDX
Of the four inputs behind this score, the 2019 Acura MDX does best on repair costs (80/100) and worst on complaint severity (45/100). Scores weight complaint severity at 35%, repair costs at 30%, recall impact at 20%, and the spread of complaints across systems at 15%, with complaint counts adjusted for US sales. Read the full methodology.
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