MedGemma-4B-IT: benchmark results

Google's MedGemma 4B-IT, an instruction-tuned, image-text-to-text model fine-tuned from MedGemma 4B-PT for the medical domain. Provider: Google. Released 2025-05-20. Access: Open.

Aggregate Rating 1489 ± 8, rank #811 of 1635 rated models, from 197 benchmark results.

Strongest benchmark results

BenchmarkScoreMetricPercentile
IndoNutriQA - 0-shot BLEU16.88BLEU (%)100
IndoNutriQA - 0-shot F142.6F1 (%)100
IndoNutriQA - 0-shot ROUGE-143.44ROUGE-1 (%)100
IndoNutriQA - 0-shot ROUGE-231.42ROUGE-2 (%)100
IndoNutriQA - 0-shot ROUGE-L39.01ROUGE-L (%)100
IndoNutriQA - 5-shot BLEU30.07BLEU (%)100
IndoNutriQA - 0-shot EM2.92EM (%)92.9
Medical MM Leaderboard - SLAKE76.4Accuracy (%)90.5
Medical MM Leaderboard - VQA-RAD72.5Accuracy (%)90.5
BrainTRACE - L2 Appearance17Clinical rubric pass (%)88.9
IndoNutriQA - 5-shot EM14.6EM (%)85.7
IndoNutriQA - 5-shot F154.28F1 (%)85.7

Interactive version: theaggregate.ai/model?slug=medgemma-4b-it · How It Works · Data refreshed daily, snapshot 2026-11-05.