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
Buy the engine first. Oil leaks hit 64% of these cars, with fuel-trim and coolant issues close behind, so start with seepage, coolant level, and a live fuel-trim read — a smooth idle does not clear it. Cleared codes run ahead of the wider fleet, so a dark dash is a weak promise; if they will not allow a full scan, walk. Worn tires belong in the price. Paint and structure look ordinary, so do not walk over a respray if the powertrain and electronics check out, and do not pay up for a mediocre example.
Based on 25 inspections · updated Oct 23, 2026