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2018 Acura MDX: True Cost, Problems & Verdict

162 NHTSA owner complaints · 10 recalls · data-computed verdict. No opinions — public data only.

Reviewed by the MotorJury data desk · 2 sources · Last updated 2026-08-20
Acura MDX
Photo: Wikimedia Commons · open the model page
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Owner complaints: 162 filed with NHTSA

Complaints per year on the road: 20.25

Engine35Fuel/Propulsion System28Electrical System27Power Train23Fuel System22Gasoline22

What owners say

Verbatim reports filed with the United States safety regulator (NHTSA) by owners of this exact model year. Public record.

Transmission failed and light appeared. Speed reduced from 30 to 15. Acura stated they had to reset computer system and claimed when they started the car no lights shown and was able to reverse car. I was unable to reverse car, struggled and tugged feeling in the car. This is the 2nd time and they always repeat same solution no lights appeared and to reset system.
Driving my Acura MDX on the highway, I hear a noticeable engine whine as I accelerate, and it rises in pitch when I take my foot off the accelerator.
The forward facing camera in the windshield went out causing all these systems to stop working and dash light up like a christmas tree. I cant even use normal cruise control. Dealer wants $1700 to replace it. From what I am reading online this is a very common problem and Acura even superseeded the part. Was that due to failures? I have yet to get this repaired as it is so expensive but i would really like these safe…

Recalls: 10 campaigns (4 severe)

20182019202320252026
CampaignComponentSummary
18V777000Service Brakes, Hydraulic:Foundation ComHonda (American Honda Motor Co.) is recalling certain 2017-2019 Acura MDX, 2017-2018 Acura MDX Sport Hybrid, 2018-2019 Honda HR-V and Honda …
26V365000Structure:Frame And MembersAmerican Honda Motor Company (Honda) is recalling certain 2016-2022 Honda Pilot, 2017-2023 Ridgeline, 2019-2023 Passport, and 2014-2020 Acur…
18V221000SeatsHonda (American Honda Motor Co.) is recalling certain 2018 Honda Pilot and Ridgeline vehicles and 2018 Acura MDX vehicles. The front driver…
19V298000Engine And Engine Cooling:Engine:GasolinHonda (American Honda Motor Co.) is recalling certain 2018-2019 Acura MDX and Honda Pilot vehicles and 2019 Acura RLX, RLX Sport Hybrid, TLX…
23V751000Engine And Engine Cooling:Engine:Hard PaHonda (American Honda Motor Co.) is recalling certain 2015-2020 Acura TLX, 2016-2020 Acura MDX, 2016 and 2018-2019 Pilot, 2017 and 2019 Ridg…
25V259000Exterior LightingHonda (American Honda Motor Co.) is recalling certain 2014-2020 Acura MDX vehicles. Moisture may enter the tailgate lid light assembly and …
23V858000Fuel System, Gasoline:Delivery:Fuel PumpHonda (American Honda Motor Co.) is recalling certain 2013-2023 Honda Accord, Civic Coupe, Civic Sedan, Civic Hatchback, Civic Type R, CR-V,…
26V332000Air Bags:Sensor:Occupant Classification:Honda (American Honda Motor Co.) is recalling certain 2018-2021, 2023 Acura TLX, 2019-2024 RDX, 2017-2020, 2022-2026 MDX, 2017-2021, 2023, 2…

True cost of ownership

Fuel (your region) $0
Maintenance band (your region) $1,263$2,526
Estimated running cost this year (age 8) $2,526

Re-priced automatically from your country's retail fuel, electricity and parts indices — change country in the bar at the top. Estimates; see methodology.

02468101214$3,821vehicle age (years)
fuel/energy + maintenance band (annual, USD, estimate)

Run your own numbers in the true-cost calculator →

FAQ

What is the most common problem with the 2018 Acura MDX?

The most-reported issue in NHTSA complaint data is Engine (35 complaints in our indexed sample).

Is the 2018 Acura MDX a good used car to buy?

Our data verdict is AVOID with a reliability score of 38/100, computed from 162 NHTSA complaints and 10 recall campaigns. See the verdict card for the top reasons.

Does the 2018 Acura MDX have recalls?

Yes — NHTSA lists 10 recall campaign(s) for the 2018 Acura MDX, 4 of them touching fire, crash or stall risk, the most recent recorded 01/11/2018. Check this car's VIN at nhtsa.gov/recalls before you buy.

What will a 2018 Acura MDX really cost YOU per year?

Fuel, maintenance band and depreciation — computed from public data in 10 seconds.

Open the true-cost calculator

Data sources

Complaints & recalls: NHTSA · Fuel economy: EPA fueleconomy.gov · Scoring: our published methodology.
Maintenance bands are industry-average estimates (AAA Your Driving Costs, CarMD index) — labeled estimates, not measurements. Last updated: 2026-08-20.

38RELIABILITY / 100
AVOID
  • 162 NHTSA complaints on record (20.2/yr of exposure)
  • 10 recall campaigns, 4 touching safety-critical systems

How this score is computed →

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