Used car safety, rank #49 of 188
Acura MDX 4WD Safety Rating (2022-23)
Real IIHS driver death rates for the 2022-23 Acura MDX 4WD, a midsize luxury SUV, compared with its class and with the current model.
IIHS 2026 edition Β· 2021β2024 crashes. Results apply only to the model years and drivetrain shown. Read the new release and its limits Β· Browse the older edition. Prices and reliability from older model years have not been carried forward.
The 2022-23 Acura MDX 4WD has an IIHS driver death rate of 21 per million registered vehicle years against a midsize luxury SUVs average of 17, which is 24% above the class average. That places it #49 of 188 used vehicles with a safety score of 72.1/100.
What the Acura MDX death rate means
At 21 driver deaths per million registered vehicle years, the Acura MDX 4WD is 24% worse than the midsize luxury SUVs average of 17. The 95% confidence interval is 0 to 48, which overlaps the class average, so some of the gap may be chance.
The other-driver death rate of 22 measures the opposite risk: how many drivers of other vehicles died in crashes with a Acura MDX. Its 95% confidence interval is 0β49. It is higher than the Acura MDX's own driver death rate, the usual pattern for this class. Remember that death rates describe vehicles and their drivers together: IIHS adjusts for driver age and gender, but not for where or how carefully people drive. Our score weights this model's own rate at 70% and its class at 30%; see how we rank used cars.
Compared with similar used luxury SUVs
The safest midsize luxury SUVs in the IIHS study, by our score, with the Acura MDX 4WD highlighted. It ranks 9 of the 9 shown; the class leader is the Mercedes-Benz GLE-Class 2WD at a death rate of 0.
| Vehicle | Years | Death rate | Score | Reliability | Used price |
|---|---|---|---|---|---|
| Mercedes-Benz GLE-Class 2WD | 2020-23 | 0 (0 to 25) | 95.3 | n/a | n/a |
| Porsche Macan 4WD | 2020-23 | 4 (0 to 11) | 93.0 | n/a | n/a |
| BMW X5 4WD | 2020-23 | 5 (0 to 11) | 92.6 | n/a | n/a |
| BMW X5 2WD | 2020-23 | 6 (0 to 17) | 91.5 | n/a | n/a |
| Volvo XC90 4WD | 2020-23 | 7 (0 to 22) | 90.4 | n/a | n/a |
| Volvo XC60 4WD | 2020-23 | 7 (0 to 17) | 90.4 | n/a | n/a |
| BMW X3 4WD | 2021-23 | 11 (0 to 23) | 85.2 | n/a | n/a |
| Mercedes-Benz GLE-Class 4WD | 2020-23 | 13 (0 to 25) | 81.8 | n/a | n/a |
| Acura MDX 4WD (this page) | 2022-23 | 21 (0 to 48) | 72.1 | n/a | n/a |
Class average for midsize luxury SUVs: 17 driver deaths per million registered vehicle years.
The new Acura MDX
Death rates lag the market by several years. For the current Acura MDX we score IIHS crash tests instead; here is how the latest model years rate on our new-car scale.
| Model year | Model | IIHS award | New-car score |
|---|---|---|---|
| 2026 | Acura MDX | No award | 87.0 |
New-car scores use a different scale (crash tests, not death rates) and are not directly comparable with the 72.1 used-car score above.
Safety recalls for the Acura MDX 4WD
A recall is a defect the manufacturer must repair free of charge, however old the car and whoever owns it now. On a used car this matters more than on a new one: the work is only done if a previous owner took it in.
3 recall campaigns on the 2023 model year, covering air bags, service brakes, hydraulic, fuel system, gasoline.
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Air bags: sensor, occupant classification, front passenger
Risk: Air bags that deploy unintentionally during a crash increase the risk of injury.
Remedy: Dealers will replace the seat weight sensors, free of charge.
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Service brakes, hydraulic: pedals and linkages
Risk: A brake pedal that shifts out of position can prevent the driver from applying the brakes as intended, increasing the risk of a crash or injury.
Remedy: Dealers will inspect and replace the brake pedal assembly as necessary, free of charge.
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Fuel system, gasoline: fuel injection system
Risk: An engine stall or loss of power can increase the risk of a crash or injury.
Remedy: Dealers will reprogram the FI-ECU software, free of charge.
Recall campaigns from the NHTSA recalls database, retrieved 2026-09-16. A campaign covers a range of build dates, not every car of the model year, and IIHS reports this nameplate across several years while these results are for 2023. Confirm against the VIN. Recalls do not affect the death rate on this page.
Acura MDX 4WD: Common Questions
Is the Acura MDX 4WD a safe car?
Not on this measure: its drivers died at a higher rate than its class average. IIHS recorded a driver death rate of 21 per million registered vehicle years for the 2022-23 Acura MDX 4WD, 24% above the class average (17 for midsize luxury SUVs). That earns a used-car safety score of 72.1 out of 100 and rank #49 of 188 used vehicles.
What is the Acura MDX 4WD driver death rate?
21 driver deaths per million registered vehicle years, with a 95% confidence interval of 0 to 48. Drivers of other vehicles that collided with a Acura MDX died at a rate of 22 per million. Source: IIHS driver death rates by make and model, covering 2022-23 models.
How does the Acura MDX 4WD compare with other midsize luxury SUVs?
The midsize luxury SUVs class averages 17 driver deaths per million; the Acura MDX 4WD sits at 21. Among the 9 midsize luxury SUVs compared above it ranks 9 by safety score; the top of that group is the Mercedes-Benz GLE-Class 2WD with a death rate of 0.