Accurate representation of three-dimensional (3D) molecular structures is essential for quantitative structure-activity relationship (QSAR) modeling; however, it remains unclear whether increasing the level of theory used for quantum-chemical geometry optimization yields a practically meaningful benefit for classical conformation-dependent 3D descriptors (Dragon 3D) and the resulting QSAR performance. Here, we benchmark eight commonly used quantum-chemical (QM) geometry-optimization protocols—from minimal-basis Hartree–Fock (HF/STO-3 G) to def2-based hybrid density functional theory (DFT) and the composite method r \(^2\) SCAN-3c—across three anticancer activity datasets and ten machine-learning classifiers. Descriptor-level analyses (relative deviation, rank correlation, and chemical-space similarity) reveal systematic method dependence in descriptor magnitudes: high-accuracy def2-based DFT protocols produce highly consistent descriptor spaces, whereas some intermediate/low-level settings introduce larger variability, although molecular rankings remain largely robust (Spearman \(\rho >0.95\) ). In contrast, downstream QSAR performance is only weakly affected by the QM level. Across paired dataset \(\times\) model blocks ( \(n=30\) ), mean balanced accuracies cluster tightly (0.852–0.871). B3LYP/3-21 G achieves the highest overall mean balanced accuracies (BA) (0.8709; 95% CI 0.8565–0.8840), while the lowest mean is observed for HF/STO-3 G (0.8518; 95% CI 0.8371–0.8661); def2-based B3LYP methods are numerically slightly lower ( \(\sim\) 0.855–0.856). A repeated-measures omnibus test indicates a statistically detectable method effect (Friedman \(p=0.006\) ) but with a small effect size (Kendall’s \(W=0.094\) ), and post-hoc Wilcoxon tests with Holm correction identify only one robust pairwise difference (B3LYP/3-21 G vs. HF/STO-3 G, \(p_{\textrm{Holm}}=0.025\) ). Thus, the observed performance shifts are marginal in magnitude ( \(\le\) 1–2%) compared with the 10–100 \(\times\) differences in computational cost.To support pragmatic method selection, we propose a two-tier Absolute Efficiency Ratio (AER) framework integrating predictive performance with efficiency and methodological considerations. Overall, these results indicate a non-linear and practically weak relationship between QM geometry-optimization level, classical 3D descriptor fidelity, and QSAR performance, suggesting that QM-level upgrades mainly reshape descriptor values without yielding commensurate or actionable gains in predictive accuracy.