Lexus Rx vs Acura MDX

Head-to-head reliability comparison from 5,508real NHTSA consumer complaints. Year-by-year breakdown, shared problems, crash & fire rates.

Lexus Rx wins·31

Which is more reliable, Lexus Rx or Acura MDX?

Verdict from 5,508 NHTSA complaints

Lexus Rx wins this comparison overall. Lexus Rx comes out ahead on 3 of 4 reliability metrics — including a 657% lower complaint rate. The Acura MDX edges ahead on crash-involvement rate.

Head-to-Head Metrics

Lower is better on every metric. Bar length = relative magnitude. ✓ = winner.

Complaints per 10K soldLower is better
Lexus Rx5.5/10K sold
Acura MDX41.5/10K sold

Lexus Rx wins by 657%

Crash-involvement rateLower is better
Lexus Rx11.9%
Acura MDX5.0%

Acura MDX wins by 138%

Fire-involvement rateLower is better
Lexus Rx1.80%
Acura MDX2.00%

Lexus Rx wins by 11%

Overall severity scoreLower is better
Lexus Rx12.7
Acura MDX71.0

Lexus Rx wins by 457%

Total complaints
Rx1,196
MDX4,312
US units sold
Rx2,177,155
MDX1,037,951
Injuries
Rx99
MDX198
Fatalities
Rx1
MDX

NHTSA Crash Test Ratings

Official NCAP star ratings — government crash test data. Most recent rated model year.

Lexus Rx

2025 model year

Not yet rated by NHTSA NCAP.

Acura MDX

2026 model year
OverallNot rated
Not rated
Frontal — Driver
Frontal — Passenger
Side — Driver
Side — Passenger
Side Pole
Rollover

Source: NHTSA New Car Assessment Program (NCAP). Lower star = higher injury risk in that crash type.

Complaint Volume — Year by Year

Sales-volume data not available for both models — showing raw complaint counts. Higher-volume models will appear higher even when reliability is comparable.

Lexus Rx
Acura MDX

Most Reported Problems

Top component complaints for each model. Identical bar lengths = both have the same recurring issue.

Lexus Rx
Acura MDX
Engine Problems128569Airbags122218Brakes96166Electrical Faults90432Automatic Transmission61318Transmission / Drivetrain55594

Year-by-Year Head-to-Head

Lower is better. Click either model column to see that year's full breakdown.

YearLexus RxAcura MDXBetter
200125266Rx
200213242Rx
20034259Rx
200456242Rx
200539244Rx
200652121Rx
200778124Rx
20088362MDX
20094274Rx
201010463MDX
20113487Rx
20121594Rx
20132443Rx
201412241Rx
20152597Rx
201631495Rx
201757347Rx
201831260Rx
201962286Rx
202052322Rx
202239156Rx
20236450MDX
20247357MDX
20252374Rx

Frequently Asked Questions

Lexus Rx vs Acura MDX — the most common buyer questions, answered from NHTSA data.

Which is more reliable, the Lexus Rx or the Acura MDX?

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Lexus Rx wins this comparison overall. Lexus Rx comes out ahead on 3 of 4 reliability metrics — including a 657% lower complaint rate. The Acura MDX edges ahead on crash-involvement rate. Source: NHTSA Office of Defects Investigation via VinItel.

Should I buy a Lexus Rx or a Acura MDX?

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On reliability data alone, the Lexus Rx is the safer bet — but the actual condition of the specific car matters far more than the model average. Check the VIN of any vehicle you're considering for accident history, title issues, and odometer rollbacks.

What problems do the Lexus Rx and Acura MDX share?

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Top complaints for the Lexus Rx: Engine Problems, Airbags, Brakes. Top complaints for the Acura MDX: Transmission / Drivetrain, Engine Problems, Electrical Faults. Source: NHTSA via VinItel.

Which has fewer NHTSA complaints, the Lexus Rx or the Acura MDX?

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Across all model years, the Lexus Rx has 1,196 NHTSA complaints and the Acura MDX has 4,312. Normalized for sales volume (complaints per 10,000 vehicles sold), the Lexus Rx has the lower complaint rate. Raw counts can mislead — a 2× more popular model will naturally collect 2× more complaints. Detailed normalized comparison: vinitel.com/stats/nhtsa-complaints/compare/lexus/rx/vs/acura/mdx

Which is safer in a crash, the Lexus Rx or the Acura MDX?

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Crash-involvement rate from NHTSA complaints: Lexus Rx 11.9% vs Acura MDX 5.0% — the Acura MDX has the lower crash rate. NHTSA NCAP star ratings (frontal, side, rollover) for both models are also shown on the comparison page. Note: the per-VIN history matters more than the model average — a salvage-title car of any model carries higher crash exposure than the median.

Does the Lexus Rx or the Acura MDX have more fires?

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Fire-involvement rate based on NHTSA complaints: Lexus Rx 1.80% vs Acura MDX 2.00%. The Lexus Rx has the lower reported fire rate. Fire complaints are a relatively rare but important safety signal — they often correlate with electrical-system or fuel-system defects. Check specific recall campaigns at vinitel.com/stats/nhtsa-complaints/lexus/rx and vinitel.com/stats/nhtsa-complaints/acura/mdx

What years of the Lexus Rx are worse than the Acura MDX?

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The comparison page renders a year-by-year head-to-head table — for each model year (where both models have data), it shows complaint count or per-10K rate side by side and marks which model fares better that year. Buyers cross-shopping a specific model year should always check the year-level VinItel pages: vinitel.com/stats/nhtsa-complaints/lexus/rx/{year} and vinitel.com/stats/nhtsa-complaints/acura/mdx/{year}.

Where does this Lexus Rx vs Acura MDX comparison data come from?

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All complaint, crash, fire, and fatality data comes from the NHTSA Office of Defects Investigation (ODI) consumer-complaint database — the same source insurance regulators and the federal government use. NCAP star ratings come from NHTSA's New Car Assessment Program crash tests. Sales-volume normalization (per 10K sold) uses US annual vehicle sales. Data refreshes every 6 hours. Source: NHTSA via VinItel.

Other head-to-head matchups buyers cross-shopping the Rx or MDX also look at:

Comparison data refreshed 2026-05-04 from NHTSA Office of Defects Investigation.·Source: NHTSA ODI

Picked your model? Now check the actual VIN.

A model average can't see the car you're buying.

Even the Lexus Rx has cars with hidden accidents, salvage titles, and odometer rollbacks. Check the VIN before you buy — full report $4.99 (vs. Carfax $44.99).

Lexus Rx vs Acura MDX Reliability: Which SUV Is Better? | VinItel