The MTX200 was introduced at the top of the MTX series at the beginning of 2003. It was equipped with a Cummins 24-valve 5.9-liter engine. The lifting capacity for this model was 9,160 kg.

At the end of 2003, the Perkins engines in the other MTX models were replaced with EEA (Cummins/Iveco) engines, which McCormick named BetaPower. The displacement was 6.7 liters. All models were intercooled and electronically controlled. The engines in the MTX165 and 185 were 24-valve and equipped with common rail injection. Model numbers increased by ten, but there were no significant changes in power or torque figures compared to before.

At this stage, the MTX200 also received the same updates as the other models: the engine oil change interval increased to 500 hours. The instrument panel in the new models had a much more modern appearance than before. Pneumatic suspension for the cab was a new optional feature. The three largest models now had automatic air conditioning. These same models also had an optional 155 l/min hydraulic pump.

In 2005, the three largest models were replaced by new XTX models. For 2007, the MTX models also received new decals and a dark chassis color.

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