In Taiwan, Japan, and China, methyl ethyl ketone peroxide (MEKPO) has caused many severe thermal explosions owing to its thermal instability and reactivity originating from the complexity of its structure. This study focused on the incompatible features of MEKPO as detected by calorimetry. The thermal decomposition and runaway behaviors of MEKPO with about 10 wt.% incompatibilities, such as H 2SO 4, HCl, NaOH, KOH, FeCl 3, and FeSO 4, were analyzed by dynamic calorimeter, differential scanning calorimetry (DSC) and adiabatic calorimeter, vent sizing package 2 (VSP2). Thermokinetic data, such as onset temperature, heat of decomposition, adiabatic temperature rise, and self-heat rate, were obtained and assessed. Experimental data were used for determining the incompatibility rating on hazards. From the thermal curves of MEKPO with assumed incompatible substances detected by DSC, all the onset temperatures in the other tests occurring earlier advanced, especially with alkaline or ferric materials. In some tests, significant incompatible reactions were found. Adiabatic runaway behaviors for simulating the worst case scenario were performed by using VSP2. These calorimetric data led to the same results that the alkaline or ferric solution was the most incompatible with MEKPO.