The Bilsteins may very well be the better product in terms of quality control, although Koni fans would probably argue otherwise. However, they are both well built and if I were to choose between the two (which I did), there are much more important factors to consider. As I've often said on this forum, Bilstein does
not build a "Sport" shock for the NSX. I emphasize this because many vendors list them as such and it simply is not true. The Sport designation has a very specific meaning at Bilstein, indicating a shock with significantly higher valve rates than stock, and typically with larger pistons etc. They are designed with the assumption that stiffer than stock springs will be used, which is a critical point. The only NSX replacement they make is in the HD (Heavy Duty) line, which is their OEM replacement. The HD designation is a typical marketing ploy to make the basic model sound better than it is, but in the case of Bilstein they are no doubt much better than the OEM units in many cars. The important thing here is that the damping rates are not significantly different than stock.
Damping rates are very important because they need to work in harmony with the springs that you will run. If you plan to run stock springs, then the Bilsteins are an excellent choice, although they don't have an adjustable rebound rate like the Koni. If you plan to go with a stiff linear rate spring such as the H&R's, then I would rate the Bilsteins as a poor choice because the car will be significantly over-sprung/under-damped and will exhibit a pogo effect over bumps. If you will run a progressive rate spring such as Eibach that starts soft then stiffens more rapidly, you could probably go either way, although I suspect the Bilsteins would still pogo when pressed hard through bumpy corners.
I installed the Bilstein/H&R combination but within a week ordered the Konis and then sold the Bilsteins. Had I known before I ordered them that the Bilsteins were not really the Sport model I could have saved some time and money, but at least I can now offer first-hand knowledge of how the two combinations work.
So, you need to consider the springs and shock as a unit when deciding what to get. You might also want to factor in what if anything you want to do in terms of different anti-sway bars because they too have an impact on both handling and road harshness. In short, you need to start by stating clearly your purpose in changing from OEM parts. What are your goals? Then you need to weigh the pros and cons of each combination of parts in terms of handling, comfort, ground clearance, etc. If you can quantify or at least prioritize those factors then the decision will be a simpler one.
While you’re at it and depending on your goals, consider some of the adjustable coil-overs available from Dali and Science of Speed. That’s where I’m headed next. (Sooner if you decide you want my like-new Koni/H&R combo
)