Much like the discontinued former flagship SUV, the 2010 [[Acura ZDX|ZDX]], the exterior includes the same panoramic moonroof found on the 2019current [[Acura RDX|RDX]], either 19" or 20" alloy steel rims, a tailgate similar to a 2019 RDX, headlights and taillights similar to the 2021current [[Acura TLX|TLX]], a differently styled grille emblem, nine exterior and seven interior colors. For the Type-S trim, a brand new yellow color, called Tiger Eye will also be available. The improved interior includes a 12.3-inch [[infotainment system]] and the Acura's first 12-inch digital full TFT instrument cluster, touch pad, 16-way power front seats with 3-memory positions, removable center second row seat, a removal double sided trunk floor with carpet and plastic, and more legroom and headroom compared to the third generation MDX. The MDX also features an optional audio system with 16-speakers including four roof-mounted speakers and a foot sensor for Hands Free Access power tailgate release and closure when the key fob is nearby. A new redesigned key fob that is shaped like a convex irregular polygon is included.