Premium Gas in Acura - is it really necessary?

You only need to use premium if you plan on running the engine.

Seriously, the instructions are pretty clear: use premium only. The engine control system is designed for it and probably CANNOT compensate for lower octane fuel. The result will be preignition. Let this go on long enough and you will damage the engine. At best, horsepower and fuel economy will be reduced, and fuel cost will probably be higher than if you use premium.