For enhanced safety, the front and second-row seat shoulder belts of the Acura MDX have pretensioners to tighten the seatbelts and eliminate dangerous slack in the event of a collision and force limiters to limit the pressure the belts will exert on the passengers. The Chrysler Pacifica doesn’t offer pretensioners for its second-row seat belts.
The MDX’s driver alert monitor detects an inattentive driver then sounds a warning and suggests a break. According to the NHTSA, drivers who fall asleep cause about 100,000 crashes and 1500 deaths a year. The Pacifica doesn’t offer a driver alert monitor.
Both the MDX and the Pacifica have standard driver and passenger frontal airbags, front side-impact airbags, driver and front passenger knee airbags, side-impact head airbags, 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, available all wheel drive and around view monitors.
For its top level performance in IIHS driver and passenger-side small overlap frontal, moderate overlap frontal, side impact, roof strength and head restraint tests, its standard front crash prevention system, and its headlight’s “Good” rating, the Insurance Institute for Highway Safety grants the MDX its highest rating: “Top Safety Pick Plus” for 2019, a rating granted to only 112 vehicles tested by the IIHS. The Pacifica is only a standard “Top Safety Pick” for 2019.

