To put it bluntly, if safety if one of your chief concerns, you can probably do better with one of the alternatives to the 2013 Nissan Titan. There are several full-size trucks that have earned top crash-test ratings and offer some advanced-safety features and options, but the Titan isn't one of them.The Titan's ratings from the Insurance Institute for Highway Safety are among the lowest of any full-size truck. Although it earns a 'good' score for frontal impact, it fails to make the honor roll in side or rear impact, and it earns another worrisome rating of just 'acceptable' for roof strength--particularly important in more rollover-prone pickups.
Under the previous (and much more lenient NHTSA ratings system, it did earn four- and five-star ratings, although it hasn't been rated under the new system.
Safety features otherwise for the Titan are nothing special compared to other full-size trucks, but a rearview camera system has been either included or made available for most of the 2013 lineup.