A field experiment was conducted to investigate the effects of different fertilization and irrigation rates on plant growth, nutrient uptake, yield and fruit quality of MD-2 pineapple. The goal was to deal with the seasonal drought in the main producing areas of pineapple, and determine the appropriate rates of fertilization and irrigation for high-yield and high-quality pineapple variety growth, which can increase the yield and efficiency. MD-2 pineapple was subjected to a field plot experiment with eight treatments: (1) CK (no fertilization and no irrigation), (2) F₁W₀ (no irrigation with conventional fertilization), (3) F₁W₁ (fertigation with 50%-60% of field capacity), (4) F₂W₁ (25% reduction in fertilizer application with 50%-60% of field capacity), (5) F₃W₁ (50% reduction in fertilizer application with 50%-60% of field capacity), (6) F₁W₂ (fertigation with 30%-40% of field capacity), (7) F₂W₂ (the amount of fertilizer was reduced by 25%, 30%-40% of field capacity), and (8) F₃W₂ (the amount of fertilizer was reduced by 50%, 30%-40% of field capacity). The results showed that the total number of leaves, root, stem, leaf, stalk, fruit and plant dry biomass accumulations, and plant N, P, K accumulations of MD-2 pineapple of F₁W₁ treatment were significantly higher than those of CK. Compared with F₁W₀, F₁W₁ treatment significantly increased the plant height, stem height, stem diameter, D leaf length, D leaf width, peduncle diameter, and stem, leaf, peduncle, fruit and plant dry biomass accumulations, and N and K accumulations of plant. The transverse diameter, vertical diameter, fruit weight and fruit yield of MD-2 pineapple of F₁W₁ treatment were significantly higher than those of CK and F₁W₀. And the fruit yield of F₁W₁ was 117.46% higher than CK and 99.40% higher than F₁W₀, while there was no difference between F₁W₀ and CK. The fertilizer contribution rate and agricultural efficiency of each fertigation treatment were significantly higher than those of F₁W₀. The contents of vitamin C and titratable acid of F₁W₀ were the highest, but the sugar-acid ratio was the lowest. Under the same irrigation level, there were no significant differences in growth, dry biomass accumulation and fruit quality of MD-2 pineapple among different fertilization levels. The yield of F₁W₁ treatment was the highest, which had no significant difference with that of F₃W₁ treatment. The irrigation water productivity of F₃W₁ treatment was equivalent to that of all treatments with low irrigation level. Under the same fertilization level, the soluble sugar content and sugar-acid ratio of treatments with high irrigation rate were significantly higher than those of treatments with low irrigation rate. Considering the growth situation, yield and quality of MD-2 pineapple, irrigation water productivity and fertilizer contribution rate, F₃W₁ treatment was the optimal combination of fertilization and irrigation, which was beneficial to realize high yield, quality and efficiency of MD-2 pineapple.