We propose a novel multi-parameter sensing technique based on a Brillouin optical time domain reflectometry in the elliptical-core few-mode fiber, using higher-order optical and acoustic modes. Multiple Brillouin peaks are observed for the backscattering of both the LP01 mode and LP11 mode. We characterize the temperature and strain coefficients for various optical–acoustic mode pairs. By selecting the proper combination of modes pairs, the performance of multi-parameter sensing can be optimized. Distributed sensing of temperature and strain is demonstrated over a 0.5-km elliptical-core few-mode fiber, with the discriminative uncertainty of 0.28°C and 5.81 ?? for temperature and strain, respectively.