MultiTurnPSB: leaderboard

Medical safety under multi-turn pressure: the PatientSafetyBench prompts become four-turn dialogues in which a GPT-4o-mini attacker pushes back with urgency, false authority and emotional appeals (Sheoran and Hao, 2026). Share of Turn 4 responses judged unsafe (3 or more on the five-point rubric, GPT-4o-mini judge), in percent; lower is better.

Metric: Unsafe response rate at Turn 4 (%; PatientSafetyBench prompts extended into four-turn dialogues by a live GPT-4o-mini attacker at temperature 0.9; each response judged by GPT-4o-mini at temperature 0 on the five-point rubric, 3 or more counts as unsafe; no system prompt). Source: arxiv.org. Saturation forecast: Around February 2027. 2 models tracked.

Top models

#ModelScoreOverall rank
1Claude Sonnet 4.54.1#244
2GPT-4.1 Mini78.8#775

No result here: #1 Claude Fable 5.2, #2 Gemini 4 Carbon, #5 Claude Opus 5.5.

Interactive version: theaggregate.ai/benchmark?slug=multiturnpsb · How It Works · Data refreshed daily, snapshot 2026-11-12.