For enhanced safety, the front and middle seat shoulder belts of the Hyundai Palisade are height-adjustable to accommodate a wide variety of driver and passenger heights. A better fit can prevent injuries and the increased comfort also encourages passengers to buckle up. The Acura MDX doesn’t offer height-adjustable middle seat belts.
Both the Palisade and MDX have child safety locks to prevent children from opening the rear doors. The Palisade has power child safety locks, allowing the driver to activate and deactivate them from the driver's seat and to know when they're engaged. The MDX’s child locks have to be individually engaged at each rear door with a manual switch. The driver can’t know the status of the locks without opening the doors and checking them.
The Palisade has a standard front seat center airbag, which deploys between the driver and front passenger, protecting them from injuries caused by striking each other in serious side impacts. The MDX doesn’t offer front seat center airbags.
With its standard Forward Collision-Avoidance Assist, the Hyundai Palisade is better at preventing collisions with pedestrians than the Acura MDX, according to the Insurance Institute for Highway Safety:
|
|
Palisade |
MDX |
| Overall Evaluation |
GOOD |
ACCEPTABLE |
|
|
Crossing Child - DAY |
|
| 12 MPH |
AVOIDED |
AVOIDED |
|
|
Crossing Adult - NIGHT |
|
| 12 MPH Brights |
AVOIDED |
AVOIDED |
| 12 MPH Low beams |
AVOIDED |
AVOIDED |
| 25 MPH Brights |
AVOIDED |
AVOIDED |
| 25 MPH Low beams |
AVOIDED |
-17 MPH |
|
|
Parallel Adult - NIGHT |
|
| 25 MPH Brights |
AVOIDED |
AVOIDED |
| 25 MPH Low beams |
AVOIDED |
No Slowing |
| 37 MPH Brights |
AVOIDED |
-33 MPH |
| 37 MPH Low beams |
-34 MPH |
No Slowing |
| Warning Issued-Low beams |
1.4 sec |
No Warning |
In a Vehicle-to-Vehicle Frontal Crash Prevention 2.0 test conducted by the Insurance Institute for Highway Safety (IIHS), the Hyundai Palisade achieved a “Good” rating - the highest possible - in forward collision warning and automatic braking systems, outperforming the Acura MDX, which scored only an “Acceptable” in these critical safety features.
When descending a steep, off-road slope, the Palisade AWD’s standard Downhill Brake Control allows you to creep down safely. The MDX doesn’t offer Downhill Brake Control.
Both the Palisade and MDX have rear cross-traffic warning, but the Palisade has Rear Cross-Traffic Collision-Avoidance Assist (automatically applies the brakes) to better prevent a collision when backing near traffic. The MDX’s Rear Cross Traffic Monitor doesn’t automatically brake.
Both the Palisade and the MDX have standard driver and passenger frontal airbags, front side-impact airbags, driver knee airbags, side-impact head airbags, front and rear seatbelt pretensioners, front wheel drive, height adjustable front shoulder belts, four-wheel antilock brakes, traction control, electronic stability systems to prevent skidding, crash mitigating brakes, daytime running lights, lane departure warning systems, blind spot warning systems, rearview cameras, rear cross-path warning, driver alert monitors, available all-wheel drive and around view monitors.
The National Highway Traffic Safety Administration does 35 MPH front crash tests on new vehicles. In this test, results indicate that the Hyundai Palisade is safer than the Acura MDX:
|
|
Palisade |
MDX |
|
|
Driver |
|
| STARS |
5 Stars |
4 Stars |
New test not comparable to pre-2011 test results. More stars = Better. Lower test results = Better.
The Insurance Institute for Highway Safety does 40 MPH moderate front offset crash tests on new cars. In this updated test, results indicate that the Palisade is safer than the MDX:
|
|
Palisade |
MDX |
| Overall Evaluation |
GOOD |
ACCEPTABLE |
| Structure |
GOOD |
GOOD |
|
|
Driver Injury Measures |
|
| Head/Neck Rating |
GOOD |
GOOD |
| Chest Rating |
GOOD |
GOOD |
| Thigh/hip Rating |
GOOD |
GOOD |
| Leg/foot Rating |
GOOD |
GOOD |
| Leg Forces L/R |
315/382 pounds |
562/427 pounds |
| Restraints |
GOOD |
GOOD |
|
|
Rear Passenger Injury Measures |
|
| Head/Neck Rating |
GOOD |
GOOD |
| Chest Rating |
GOOD |
GOOD |
| Thigh Rating |
GOOD |
GOOD |
| Restraints |
GOOD |
POOR |
The Hyundai Palisade (built after November 2025) has achieved the Insurance Institute for Highway Safety’s (IIHS) highest rating of “Top Safety Pick Plus” for the 2026 model year. This distinction is based on its exceptional performance in IIHS’ rigorous battery of safety tests. Specifically, it earned a “Good” rating in the latest, more stringent moderate overlap front crash test, a “Good” result in the updated side impact test, a “Good” score in the revised pedestrian crash prevention test, and a “Good” score in the revised vehicle-to-vehicle crash prevention test. The MDX is not even a standard “Top Safety Pick” for 2026.

