The MDX A-Spec features new bumpers, sill trim, darkened optics and chrome details, as well as enlarged air intakes and exhaust tips. In addition, this version is fitted with special 20-inch wheels and a pseudo-diffuser in the rear bumper.

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Inside, one can note the two-tone Alcantara and leather upholstery, as well as a modified steering wheel and instrument panel.

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The Acura MDX A-Spec crossover received no technical improvements.