Showing the 2010 MDX Technology. We haven't verified this trim's engine; the numbers below cover every version of this model year. Every version
Owner complaints, recalls, fuel economy and safety ratings from public NHTSA and EPA data, updated Oct 17, 2026.
Fuel economy
18 mpgcombined; city 16, highway 21; every version of this model year
Five years of fuel
$22,360U.S. average; Ohio $21,070 at local prices; every version of this model year; fuel only, not other costs of owning it; 15,000 miles a year, at EIA fuel prices for the week of Oct 12, 2026
NHTSA's VIN data lists these trims for the 2010 MDX. A trim's engine and numbers are shown as its own only where EPA names versions after the trim and no other version could be it; "seen with" means a source shows that engine on the trim, not that it was the only one. Recalls and complaints cover the whole model year: whether a recall applies to a car depends on its VIN, on NHTSA's recall lookup.
Owners have filed 45 complaints with NHTSA about the 2010 MDX. These are unverified owner reports, counted by the part of the car they name; one complaint can name several parts. Counts aren't adjusted for how many were sold, so they don't show how reliable a car is.
Complaints by part of the car
Part
Complaints
Crashes
Fires
Injuries
Engine
11
0
2
0
Electrical system
9
0
2
0
Steering
6
1
1
0
Structure
6
1
0
4
Power train
5
0
0
0
Unknown or other
5
1
0
0
Seat belts
4
2
0
2
Air bags
3
1
0
2
Exterior lighting
2
1
0
0
Fuel/propulsion system
2
0
1
0
Latches/locks/linkages
2
0
0
0
Seats
2
0
0
0
5 more parts
Service brakes
2
1
0
0
Electronic stability control (ESC)
1
0
0
0
Service brakes, hydraulic
1
0
0
0
Suspension
1
0
0
0
Visibility
1
0
1
0
Complaints by model year
Newer years have had less time to collect complaints, and counts aren't adjusted for sales, so a shorter bar doesn't mean a more reliable year.
NHTSA lists 1 recall campaign for the 2010 MDX over its history. Campaigns are matched by model and year, so each one may apply to a given car, and its repair may already be done: check a VIN on NHTSA's recall lookup for the open recalls on that exact car.
HONDA IS RECALLING CERTAIN MODEL YEAR ACURA 2010 MDX VEHICLES MANUFACTURED BETWEEN OCTOBER 7, 2009 AND NOVEMBER 14, 2009. A BOLT USED TO ATTACH AN INTERIOR TRIM PIECE TO EITHER THE DRIVER'S OR PASSENGER'S SIDE A-PILLAR MAY NOT HAVE BEEN INSTALLED DURING MANUFACTURING.
Risk: IN THE EVENT OF A CRASH RESULTING IN SIDE CURTAIN AIR BAG DEPLOYMENT, THE TRIM PIECE MAY NOT REMAIN PROPERLY SECURED TO THE A-PILLAR, INCREASING THE RISK OF INJURY TO THE DRIVER AND/OR FRONT SEAT PASSENGER.
Remedy: DEALERS WILL INSPECT THE INTERIOR TRIM PIECE OF THE A-PILLAR AND IF A BOLT IS MISSING IT WILL BE INSTALLED FREE OF CHARGE. FOUR VEHICLES WERE PURCHASED BEFORE THE STOP-SALE WAS ISSUED AND ALL THE VEHICLES HAVE BEEN INSPECTED AND REPAIRED IF NECESSARY.
Carmakers sent NHTSA 77 service bulletins and notices that cover the 2010 MDX, the latest on Jun 3, 2020. They tell dealers how to fix known issues.
The parts they mention most: engine and engine cooling (20), engine (18), equipment (10), suspension (10), steering (8).
NHTSA hasn't opened a defect investigation that covers this model year.
Maintenance
Oil
The owner's manual gives the oil and how often to change it. We show oil facts only once we've checked them against the manual, and we haven't yet for the 2010 MDX.
These are searches on those sites; we don't copy or check their listings. Your ZIP is used for these links and never kept.
Specs
EPA class: sport utility vehicle. Each version EPA tested:
Swipe the table sideways for more columns.
Version
Engine
Transmission
Fuel
City / hwy / comb
MDX All-Wheel Drive
3.7 L, 6 cyl
Automatic (S6)
Premium Gasoline
16 / 21 / 18
Sources and dates
U.S. EPA fuel economy data, file of Sep 29, 2026
NHTSA owner complaints, file of Oct 17, 2026
NHTSA recalls, file of Oct 17, 2026
NHTSA manufacturer communications, file of Oct 17, 2026
NHTSA defect investigations, file of Oct 17, 2026
NHTSA 5-Star Safety Ratings, file of Aug 7, 2026
U.S. Energy Information Administration, file of Oct 12, 2026
Fuel cost: EPA mpg with fuel prices for the week of Oct 12, 2026 and electricity prices for Jul 2026. Source: U.S. Energy Information Administration (Oct 2026). Complaints are unverified reports owners filed with NHTSA. About the data