Models › medgemma-1.5 family

medgemma-1.5-4b-it

google health-ai-developer-foundations out 10 months ago

4.30B parameters, images and text in, text out.

Verified 2026-10-26 07:27 UTC Rank #202 in LLMs · score 88.6 method v1 Sources 3 Downloads 30d 125.1k · #290 of 619 tracked

Changed this week: 2 new quantized builds on the Hub (47 in all).2026-10-24

Can I run it?2.6GB at INT4Estimatefits a 16 GB cardmethod
Can I use it?health-ai-developer-foundationsCustom license; read the repo LICENSE before commercial hostinglicence file2026-10-26
Do people use it?125.1kdownloads, 30 days#290 of 619 we track · top 47%+30 likes, downloads +69% this week1,062 likesHugging Face2026-10-26

Worth reading

Picked by rule from 6 tracked pieces: the lab's own post, the most shared, a field report, the latest.

MedGemma 1.5 4B is small enough to run offline while developers can use the 27B parameter model for complex text applications.

From Google releases MedGemma 1.5 4B with medical image interpretation · research.google · 2026-01-14
The lab's own post

Google releases MedGemma 1.5 4B with medical image interpretation

Google releases MedGemma 1.5 4B, an updated open medical model supporting high-dimensional imaging like CT and MRI, alongside a new speech-to-text model called MedASR.

  • MedGemma 1.5 4B is small enough to run offline while developers can use the 27B parameter model for complex text applications.
  • MedGemma 1.5 is the first public release of an open multimodal large language model that can interpret high-dimensional medical data.
research.google 2026-01-14 4 HN pts 1.7k words

6 best of 6 tracked

The 1 pick above, plus these 5. Top is the radar's score: discussion, source authority and the lab's own posts, fading with age.

  1. PaperMedGemma 1.5 Technical Reportarxiv.org · undated
  2. PaperMedGemma 1.5 Technical Report - arXivarxiv.org · undated
  3. ArticleMedGemma 1.5 model card | Health AI Developer Foundationsdevelopers.google.com · undated · official
  4. ArticleMedGemma 1.5 Technical Report | arXiv Sciencearxiv.science · 2026-05-01
  5. ArticleMedGemma 1.5 4B: Multimodal Medical AI Modelemergentmind.com · undated

Where it's used

Hugging Face does not say who downloads a model or with what. These are the proxies: API providers listing it, quantized builds, fine-tunes/adapters/merges, and Spaces that load it.

No API provider serves it, so its downloads are people running it themselves: 47 quantized builds and 100 Spaces.

  • As a service0no API provider listed
  • On own hardware47quantized builds
  • Built on15986 fine-tunes · 72 adapters · 1 merges
  • In apps100+Hugging Face Spaces

Top Spaces running it: build-small-hackathon/chhaya ♥ 13 · warshanks/medgemma-1.5-4b-it ♥ 12 · build-small-hackathon/cxr-draft-auditor ♥ 8 · build-small-hackathon/medical-appt-prep ♥ 4

Will it fit?

Weights only, an estimate: leave room for the KV cache. Method

Fits a 16 GB card at INT4

About 2.6 GB at INT4, 5.2 GB at FP8, 10 GB at BF16: weights only, so leave room for the KV cache.

16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 2.6 GB of weights (estimate; KV cache and activations extra)INT42.6 GBFP8: about 5.2 GB of weights (estimate; KV cache and activations extra)FP85.2 GBBF16: about 10 GB of weights (estimate; KV cache and activations extra)BF1610 GB
16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 2.6 GB of weights (estimate; KV cache and activations extra)INT42.6 GBFP8: about 5.2 GB of weights (estimate; KV cache and activations extra)FP85.2 GBBF16: about 10 GB of weights (estimate; KV cache and activations extra)BF1610 GB

Estimate params × bytes per param × 1.2 · how we estimate

The story so far

Weights, every dated article, and repo commits on one rail.

2 dated articles and 0 repo commits so far

Teal is the weights (2026-01-07), amber triangles are 2 dated articles (each links to it).

What people built on it

206 derivatives on the Hub. Which build to run, by runtime: the most downloaded in each class.

206 derivatives on the Hub, led by 86 fine-tunes

From the Hugging Face model tree; quantized builds in teal, fine-tunes, merges and adapters in greys.

47 quantized (Hugging Face model tree)86 fine-tunes (Hugging Face model tree)1 merge (Hugging Face model tree)72 adapters (Hugging Face model tree)47 quantized86 fine-tunes1 merge72 adapters
47 quantized (Hugging Face model tree)86 fine-tunes (Hugging Face model tree)1 merge (Hugging Face model tree)72 adapters (Hugging Face model tree)47 quantized86 fine-tunes1 merge72 adapters

All variants →

Reference

Everything else, folded: the full tables, every source.

Use-case evidence

3 use cases

What it is good at 3 use cases

Labels are evidence, not verdicts: measured a third-party leaderboard row for this model; author-reported a number the model author published in the card or eval files; structural a deterministic signal from the name, config or chat template, or a decision-model estimate. Each chip links to its source. All use cases.

Facts

17 fields

Listed in LLMs

Facts

Pipeline tagimage-text-to-text
Librarytransformers
ArchitecturesGemma3ForConditionalGeneration
Model typegemma3
Params by dtypeBF16: 4,300,079,472
Size bandM
MoEno
Gatedauto
PapersarXiv:2303.15343, arXiv:2604.05081, arXiv:2406.19578, arXiv:2405.03162, arXiv:2106.14463, arXiv:2009.13081, arXiv:2203.14371, arXiv:1909.06146, arXiv:2102.09542, arXiv:2411.15640, arXiv:2404.05590, arXiv:2501.18362, arXiv:1605.01397, arXiv:1901.07031, arXiv:2403.17834, arXiv:2402.16040
Licensehealth-ai-developer-foundations (other)
Hub snapshot2026-10-26

Servability

vLLM · SGLang

Servability

vLLM: supported · Gemma3ForConditionalGeneration · 4b1c04e76fe9ac3ca8b7e541dd423e7d5f38dc60SGLang: supported · Gemma3ForConditionalGeneration · 60d941293e3af27a12c6eb64e2c3e2e1a17f100f

vLLM registry (4b1c04e76fe9ac3ca8b7e541dd423e7d5f38dc60) · SGLang registry (60d941293e3af27a12c6eb64e2c3e2e1a17f100f) · Matched by architecture class name against each project's registry on main; 'supported' means the architecture is registered, not that this checkpoint was tested.

Hardware fit

3 estimates

Hardware fit ESTIMATE

Weights-only memory for medgemma-1.5-4b-it: params × bytes/param × 1.2 overhead. KV cache and activations are extra. How this is computed.

BF16 (2 bytes/param)10 GB · Single GPU (<24 GB)
FP8 (1 byte/param)5.2 GB · Single GPU (<24 GB)
INT4 (0.5 bytes/param)2.6 GB · Edge (<4 GB)

Weights only (params × bytes/param × 1.2 overhead); KV cache and activations extra.

All variants

40 variants

Lineage

Original model Family: google/medgemma-1.5 206 derivatives on the Hub

quantized: 47finetune: 86merge: 1adapter: 72

Top variants (40 shown, ranked by downloads)

Relation
Quant
40 rows
Variant Relation Quant Params Band License Author Likes Downloads
unsloth/medgemma-1.5-4b-it-GGUF quantized GGUF — — other unsloth 62 104.5k
unsloth/medgemma-1.5-4b-it finetune — 4.30B M other unsloth 10 42.7k
mradermacher/medgemma-1.5-4b-it-GGUF quantized GGUF — — other mradermacher 3 9.9k
unsloth/medgemma-1.5-4b-it-unsloth-bnb-4bit quantized -bnb 4.30B M other unsloth 3 7.7k
unsloth/medgemma-1.5-4b-it-bnb-4bit quantized -bnb 4.40B M other unsloth 7 6.1k
mradermacher/medgemma-1.5-4b-it-i1-GGUF quantized GGUF — — other mradermacher 0 6.2k
Gunulhona/Gemma-3-4B merge — 4.30B M — Gunulhona 1 4k
litert-community/MedGemma-1.5-4B-IT finetune — — — other litert-community 17 1.4k
gguf-org/medgemma-1.5-4b-it-gguf quantized gguf — — other gguf-org 2 2.1k
MedGemmaImpact/medgemma-1.5-4b-it-awq quantized awq 2.19B M gemma MedGemmaImpact 1 1.9k
naazimsnh02/dentalgemma-1.5-4b-it finetune — 4.97B M apache-2.0 naazimsnh02 0 1.3k
wredd/medgemma-4b-gguf quantized gguf — — gemma wredd 0 1.1k
matthewchung74/dermtriage-medgemma-1.5-ft-GGUF quantized GGUF — — other matthewchung74 0 1.1k
MedGemmaImpact/medgemma-1.5-4b-it-fp8 quantized -fp8 4.30B M gemma MedGemmaImpact 1 1k
ponakilan/medgemma-1.5-4b-it-as quantized — 3.88B M other ponakilan 0 862
Nadhari/Sara-1.5-4B-it finetune — 4.30B M other Nadhari 4 634
piotrleniartek/eyegemma-1.5-4b-it quantized GGUF 4.30B M — piotrleniartek 0 745
shrishSVaidya/VAJRAM-Models quantized GGUF — — apache-2.0 shrishSVaidya 0 743
bisonnetworking/medgemma-health-chat-gguf quantized gguf — — other bisonnetworking 0 647
bisonnetworking/medgemma-health-chat-mlx-8bit quantized mlx 3.88B M other bisonnetworking 0 642
MedGemmaImpact/medgemma-1.5-4b-it-nvfp4 quantized nvfp4 3.57B M gemma MedGemmaImpact 1 587
kamalkraj/medgemma-1.5-4b-it-executorch quantized — — — other kamalkraj 0 576
DocUA/medgemma-1.5-4b-it-gguf-q5-k-m-two-stage adapter gguf — — other DocUA 0 571
warped-community/MedGemma-1.5-4B-litert-lm finetune — — — other warped-community 0 565
docvm/medgemma-1.5-4b-it-GGUF quantized GGUF — — other docvm 1 474
chaudhrysuleman/medgemma-1.5-4b-it-leukemia-lora adapter — — — apache-2.0 chaudhrysuleman 1 468
alex-feeel/medgemma-cxr-auditor-v2 finetune — 4.30B M other alex-feeel 3 354
litert-community/Cardiac_micro_model_Android_Wear finetune — — — apache-2.0 litert-community 6 147
mrdbourke/sunny-medgemma-1.5-4b-finetune finetune — 4.30B M gemma mrdbourke 3 258
Nick-Maximillien/nexus-forensic-medgemma-4b.Q8_0.gguf quantized Q8_0 — — apache-2.0 Nick-Maximillien 1 329
mackkkkkilllll/medgemma-1.5-4b-it-GGUF quantized GGUF — — gemma mackkkkkilllll 0 370
AXONVERTEX-AI-RESEARCH/medgemma-1.5-4b-it-Q8_0-GGUF quantized Q8_0 — — other AXONVERTEX-AI-RESEARCH 0 366
billylo/medgemma-1.5-4b-it-mmproj-gguf quantized gguf — — apache-2.0 billylo 1 312
hmzBen/medgemma-1.5-medical-q4km quantized GGUF — — other hmzBen 0 354
moisf56/medgemma-4b-q3km-gguf quantized gguf — — gemma moisf56 1 295
sdvzdfgfngdfgh/caries-medgemma-gguf quantized gguf — — other sdvzdfgfngdfgh 0 342
jubayer009/medgemma-1.5-4b-mental-health-rag adapter — 4.30B M other jubayer009 0 311
darmasrmz/dentalgemma finetune — — — — darmasrmz 6 0
AiHub4MSRH-Hash/hash-MedGemma-1.5-4B-16bit-multilingual-it finetune — 4.30B M apache-2.0 AiHub4MSRH-Hash 0 283
bisonnetworking/medgemma-health-chat-mlx-4bit quantized mlx 3.88B M other bisonnetworking 0 264

Repository changelog

1 change
changed in the last 7 daysOther: 2026-10-24all changes

Articles and coverage

6 pieces

Ranked by source signals (HN, Lobsters, authority domains, official posts) and recency. Summaries are generated from a stored copy of the article text; every sentence cites a span of that text, and nothing is shown that failed the citation check.

Official2

developers.google.comofficialabout the medgemma 1.5 family5,120 words
MedGemma 1.5 is a collection of Gemma 3 variants trained for medical text and image comprehension, with the 4B multimodal version created on Jan 13, 2026. The model supports a context length of at least 128K tokens and processes images normalized to 896 x 896 resolution encoded to 256 tokens each. Developers must adhere to the Health AI Developer Foundations terms of use, and the 4B variant improves accuracy on tasks like CT classification and chest X-ray interpretation over MedGemma 1.written, reviewed, cited
  • MedSigLIP is recommended for medical image-based applications that do not involve text generation.
  • CT, MRI and whole-slide histopathology images require some pre-processing before model inference.
research.google2026-01-14officialHN 4 pts · 0 comments1,734 words
Google releases MedGemma 1.5 4B, an updated open medical model supporting high-dimensional imaging like CT and MRI, alongside a new speech-to-text model called MedASR. The update improves accuracy on medical records and images while remaining small enough for offline use. On internal benchmarks, the baseline absolute accuracy of MedGemma 1.5 improved by 3% over MedGemma 1 on classification of disease-related CT findings and by 14% on classification of disease-related MRI findings. MedASR had 58% fewer errors on chest X-ray dictations compared to Whisper large-v3, achieving a 5.2% word error rate versus 12.5%.written, reviewed, cited
  • MedGemma 1.5 4B is small enough to run offline while developers can use the 27B parameter model for complex text applications.
  • MedGemma 1.5 is the first public release of an open multimodal large language model that can interpret high-dimensional medical data.
  • MedASR had 82% fewer errors on an internal medical dictation benchmark with diverse specialties and speakers compared to Whisper large-v3.

Analysis4

arxiv.orgauthorityabout the medgemma 1.5 family8,340 words
MedGemma 1.5 4B integrates high-dimensional medical imaging, anatomical localization, and multi-timepoint analysis into a single unified architecture based on a 400M MedSigLIP encoder. The model improves 3D MRI condition classification accuracy by 11%, achieves a 47% macro F1 gain in whole slide pathology, and increases Intersection over Union by 35% on chest X-rays. It also attains 4% macro accuracy for longitudinal chest x-ray analysis, improves MedQA accuracy by 5%, and reaches an average of 18% macro F1 across four lab report information extraction datasets.written, reviewed, cited
  • The model caps axial slices per query to a maximum of 85 to stay below a total of 32K tokens during training.
  • For CT studies, the preprocessing includes volumes with different reconstruction kernels originating from the same scan.
  • The distillation process incorporates additional domain-specific teacher models trained on CT Dataset 1, MRI-Dataset 1, and Internal histopathology.
arxiv.orgauthorityabout the medgemma 1.5 family8,340 words
MedGemma 1.5 4B improves 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% compared to MedGemma 1 4B. The model achieves a 47% macro F1 gain in whole slide pathology imaging and a 35% increase in Intersection over Union for anatomical localization on chest X-rays.generated, cited
arxiv.science2026-05-01about the medgemma 1.5 family376 words
MedGemma 1.5 4B serves as a robust, open resource for the community, designed as an improved foundation on which developers can create the next generation of medical AI systems. The model integrates capabilities for high-dimensional medical imaging including CT/MRI volumes and histopathology whole slide images alongside improved medical document understanding of lab reports and electronic health records. Compared to MedGemma 1 4B, MedGemma 1.5 4B demonstrates significant gains in these new areas, improving 3D MRI condition classification accuracy by 11% and 3D CT condition classification by 3% (absolute improvements).written, reviewed, cited
emergentmind.com1,292 words

Papers

8 papers

Papers 8

arXiv links found in the model card and its tags. "Peer-reviewed" is shown only with evidence: a published venue in OpenAlex (measured) or the authors' own journal reference on arXiv (reported).

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Sources

3 sources

Sources

Hub snapshot: 2026-10-26 · HF API: 2026-10-26 07:18 UTC · Providers: 2026-10-26 07:26 UTC · Articles: 2026-10-26 07:27 UTC · Summary: 2026-10-07 15:04 UTC · Last verified 2026-10-26 07:27 UTC

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