All versions of the Acura MDX perform well in safety testing. The IIHS gives the MDX Good ratings in all categories, except for an Acceptable headlight score. Its front crash prevention system fully avoided collisions in both 12-mph and 25-mph tests. The NHTSA gives the MDX a five-star overall rating. Every 2020 MDX comes with the AcuraWatch suite of safety- and driver-assist features. These include adaptive cruise control, lane-departure warning with corrective steering assist, blind-spot monitoring, forward collision warning, and collision mitigation braking. Rear cross-traffic alert and a surround-view camera system are optionally available.