You need to decide what factors are most important to you when buying.If fuel milage is important than the Altima looses.If it is reliability altima also losses out compared to the honda and toyota.According to consumer reports you cant go wrong with either the camry or accord.If you want sporty and fast get the altima.I myself have driven all three and at this time I would buy a Toyota Camy Hybird because gas milage ride and reliability is most important to me.