For this fourth generation Accord, Honda made significant engineering design improvements. All Accords sold in North America came with a completely new all aluminium 2.2 liter 16 valve electronic fuel injected engine standard, replacing the previous 2.0 liter 12-valve model from the past generation. Also noteworthy, all Accords equipped with automatic transmissions used an electronically controlled rear engine mount to reduce low frequency noise and vibration. The mount contained 2 fluid filled chambers separated by a computer controlled valve. At low engine speeds, fluid is routed through the valve damping vibration. Above 850 rpm, fluid is routed around the valve making the engine mount stiffer.

In the US, the LX-i and SE-i designations were dropped, being replaced with the DX, LX, and EX trim levels. The Canadian Accord trim levels varied slightly from the US models with LX, EX and EX-R roughly corresponding to the American DX, LX, and EX, respectively. Fourth generation Japanese-assembled EXi Accords sold in Australia offered the same 4-wheel steering technology as was available optionally on the US Honda Prelude but this was not included on the New Zealand-assembled versions. US Accord Coupes were available in the same DX, LX and EX trims as the US Accord Sedan (LX, EX and EX-R in Canada).

A 125 horsepower (93 kW) 4-cylinder engine was offered in the DX and LX models (F22A1), while the 1990 and 1991 EX received a 130 hp (97 kW) version (F22A4). Cruise control was dropped from the DX sedan, with air conditioning remaining a dealer-installed option. The LX kept the same features as the previous generation including air conditioning, power windows, locks, and mirrors. The 90-91 EX added 5 horsepower due to a different exhaust manifold design, slightly larger exhaust piping and a twin outlet muffler. 15 inch machined aluminum-alloy wheels, sunroof, upgraded upholstery, rear stabilizer bar and a high-power 4-speaker stereo cassette were standard on all EX models. Some models though rare were special ordered with an anti-lock braking system (at that time abbreviated as ALB, now all automakers refer to it as ABS). A redesigned manual transmission with hydraulic clutch was standard equipment in all trims while an all-new electronically controlled 4-speed automatic transmission was optional for all models.

Some new dealer-installed accessories were now offered including a single-disc in-dash CD player or trunk mounted 6-disc CD changer, fog lights, security system, rear wing spoiler, trunk lip spoiler, luggage rack, full and half nose mask, center armrest, equalizer, window visors, sunroof visor, car cover, and cockpit cover.

Because of tightening auto safety regulations from the NHTSA, all 1990 and 1991 Accords sold in the United States came equipped with motorized shoulder belts for front passengers to comply with passive restraint mandates. These semi-automatic restraints were a two component system; a motorized shoulder belt along with a non-integrated and manually operated seatbelt. The shoulder belts automatically raced around each window frame encircling both the driver and front seat passenger whenever the front door closed and reversed to release them when opened. The lap belts however, still required manual fastening.

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