Models › medgemma family

google health-ai-developer-foundations out 16 months ago

27.4B parameters, images and text in, text out.

Verified 2026-10-25 Rank #372 in LLMs · score 80.4 method v1 Sources 3 Downloads 30d 28.6k · #430 of 619 tracked

Can I run it?17GB at INT4Estimatefits a 24 GB cardmethod
Can I use it?health-ai-developer-foundationsCustom license; read the repo LICENSE before commercial hostinglicence file2026-10-24
Do people use it?28.6kdownloads, 30 days#430 of 619 we track · below the median+4 likes, downloads −26% this week469 likesHugging Face2026-10-24

Worth reading

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

Latest · 9 months ago

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 about the medgemma family family

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. ArticleMedGemma: Google's most capable open models for health AI developmentresearch.google · 2025-07-10 · 1 HN pts · official
  2. ArticleMedGemma 3 27B: Medical Foundation Modelemergentmind.com · undated
  3. ArticleGoogle's Breakthrough in Open Medical Multimodal Modelsmedgemma.pro · undated
  4. ArticleAnalyze Medical Images with MedGemma — A Technical Deep ...medium.com · undated
  5. ArticleGoogle unveils MedGemma, an open-source AI model suite for medical applicationsthe-decoder.com · 2025-07-10 · 1 HN pts

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: 16 quantized builds and 24 Spaces.

  • As a service0no API provider listed
  • On own hardware16quantized builds
  • Built on4232 fine-tunes · 9 adapters · 1 merges
  • In apps24Hugging Face Spaces

Top Spaces running it: warshanks/medgemma-27b-it ♥ 36 · upprize/triage_medgemma_27B ♥ 2 · edeler/LorAI ♥ 1 · angel-born-in-hell/clinical-workstation ♥ 1

Will it fit?

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

Fits a 64 GB Mac (unified memory) at INT4

About 17 GB at INT4, 33 GB at FP8, 66 GB at BF16: weights only, so leave room for the KV cache.

16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 17 GB of weights (estimate; KV cache and activations extra)INT417 GBFP8: about 33 GB of weights (estimate; KV cache and activations extra)FP833 GBBF16: about 66 GB of weights (estimate; KV cache and activations extra)BF1666 GB
16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 17 GB of weights (estimate; KV cache and activations extra)INT417 GBFP8: about 33 GB of weights (estimate; KV cache and activations extra)FP833 GBBF16: about 66 GB of weights (estimate; KV cache and activations extra)BF1666 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.

What people built on it

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

58 derivatives on the Hub, most of them fine-tunes

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

16 quantized (Hugging Face model tree)32 fine-tunes (Hugging Face model tree)1 merge (Hugging Face model tree)9 adapters (Hugging Face model tree)16 quantized32 fine-tunes1 merge9 adapters
16 quantized (Hugging Face model tree)32 fine-tunes (Hugging Face model tree)1 merge (Hugging Face model tree)9 adapters (Hugging Face model tree)16 quantized32 fine-tunes1 merge9 adapters

All variants →

Reference

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

Use-case evidence

2 use cases

What it is good at 2 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: 27,432,406,640
Size bandL
MoEno
Gatedauto
PapersarXiv:2303.15343, arXiv:2507.05201, arXiv:2405.03162, arXiv:2106.14463, arXiv:2412.03555, arXiv:2501.19393, arXiv:2009.13081, arXiv:2102.09542, arXiv:2411.15640, arXiv:2404.05590, arXiv:2501.18362
Licensehealth-ai-developer-foundations (other)
Hub snapshot2026-10-25

Servability

vLLM · SGLang

Servability

vLLM: supported · Gemma3ForConditionalGeneration · 7050ef881ff0835f6890a47db1859a24c65481d6SGLang: supported · Gemma3ForConditionalGeneration · 773cb938fe9484a8f7e7e46fb1b1fe96412c59ed

vLLM registry (7050ef881ff0835f6890a47db1859a24c65481d6) · SGLang registry (773cb938fe9484a8f7e7e46fb1b1fe96412c59ed) · 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-27b-it: params × bytes/param × 1.2 overhead. KV cache and activations are extra. How this is computed.

BF16 (2 bytes/param)66 GB · Single high-end GPU (<80 GB)
FP8 (1 byte/param)33 GB · Single high-end GPU (<80 GB)
INT4 (0.5 bytes/param)17 GB · Single GPU (<24 GB)

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

All variants

40 variants

Lineage

Fine-tuned from google/gemma-3-27b-pt (same organization) Family: google/medgemma 58 derivatives on the Hub

Base model: google/gemma-3-27b-pt

quantized: 16finetune: 32merge: 1adapter: 9

Top variants (40 shown, ranked by downloads)

Relation
Quant
Size
40 rows
Variant Relation Quant Params Band License Author Likes Downloads
unsloth/medgemma-27b-it-GGUF quantized GGUF — — other unsloth 62 87.2k
bartowski/google_medgemma-27b-it-GGUF quantized GGUF — — other bartowski 14 53.8k
mradermacher/medgemma-27b-it-i1-GGUF quantized GGUF — — other mradermacher 4 25.8k
ig1/medgemma-27b-it-FP8-Dynamic quantized -FP8 28.8B L other ig1 0 21.5k
unsloth/medgemma-27b-it finetune — 28.8B L other unsloth 3 8.1k
mradermacher/medgemma-27b-it-GGUF quantized GGUF — — other mradermacher 1 6.6k
gabriellarson/medgemma-27b-it-GGUF quantized GGUF — — other gabriellarson 0 6.4k
Testament200156/medgemma3-thinking quantized GGUF — — gemma Testament200156 7 3.4k
DevQuasar/google.medgemma-27b-it-GGUF quantized GGUF — — — DevQuasar 0 3.1k
AestheticLabs/medgemma-27b-it-GGUF quantized GGUF — — other AestheticLabs 0 3k
suitch/medgemma-27b-it-4bit quantized -4bit 27.8B L other suitch 0 1k
unofficial-jona/MedGemma-27B-IT-GGUF quantized GGUF — — other unofficial-jona 0 771
thantnaylin/medgemma-27b-it-Q4_K_M-GGUF quantized GGUF — — other thantnaylin 1 455
imageNomop/medgemma-27b-tools-omop quantized GGUF — — apache-2.0 imageNomop 0 474
MedSwin/MedSwin-7B-KD finetune — 6.74B M apache-2.0 MedSwin 2 224
copiglet/medgemma-nuslerp-27b merge — 27.4B L — copiglet 2 207
andosen/medgemma-27b-it-mlx-5Bit quantized mlx 27.0B L other andosen 0 299
ZhangQiao123/medgemma-27b-it-chinese-medical-qa-lora adapter — — — other ZhangQiao123 3 115
Vrda/medgemma-27b-clinical-error-sft adapter — — — apache-2.0 Vrda 3 113
icdevelop/pai1-medgemma-27b adapter — 27.4B L other icdevelop 0 210
miniontek/medgemma-27b-it finetune — 27.4B L gemma miniontek 1 42
Remeda/medgemma-27b-vindr-mixed-lora adapter — — — other Remeda 0 80
tp53/cardio-sahayak-vlm adapter — — — cc-by-4.0 tp53 0 49
bonadossou/medgemma-cervic adapter — — — — bonadossou 0 37
vineetdaniels/medgemma-27b-v6-rag adapter — — — — vineetdaniels 0 36
Synin/Helix-by-syninlab finetune — 27.4B L other Synin 0 24
berkamphoon/medgemma-27b-it-dr1 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr2 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr3 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr4 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr5 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr6 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-dr7 finetune — — — — berkamphoon 0 0
Prince-1/medgemma-27b-it quantized — — — other Prince-1 0 0
alfredcs/medgemma-27b-it-sft-lora-crc100k finetune — — — — alfredcs 0 0
alfredcs/medgemma-27b-it-sft-lora-crc100k-2 finetune — — — — alfredcs 0 0
wangyichen25/medgemma-27b-it-sft-lora-hyperkvasir finetune — — — — wangyichen25 0 0
adiasija10/medgemma-27b-it-sft-lora finetune — — — — adiasija10 0 0
berkamphoon/medgemma-27b-it-amd1 finetune — — — — berkamphoon 0 0
berkamphoon/medgemma-27b-it-amd2 finetune — — — — berkamphoon 0 0

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

research.google2026-01-14officialabout the medgemma familyHN 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.
research.google2025-07-10officialabout the medgemma familyHN 1 pts · 0 comments1,442 words
Google released MedGemma 27B Multimodal and MedSigLIP as part of the open HAI-DEF collection for health AI development. The 27B text variant scores 87.7% on the MedQA benchmark, achieving performance within 3 points of DeepSeek R1 at approximately one tenth the inference cost. MedSigLIP is a lightweight 400M parameter image encoder based on the SigLIP architecture that supports classification and retrieval across diverse medical imaging domains.written, reviewed, cited
  • MedGemma 4B and MedSigLIP can be adapted to run on mobile hardware.
  • MedGemma 27B Multimodal adds support for complex multimodal and longitudinal electronic health record interpretation.

Analysis3

emergentmind.comabout the medgemma family2,167 words
MedGemma 3 27B is a 27-billion parameter medical foundation model family derived from Gemma 3, available in both text-only and multimodal variants. The multimodal pathway uses a MedSigLIP vision encoder, while the text model supports a 128k-token context length and relies on post-training distillation and reinforcement learning. In EHR prescription extraction, MedGemma-27B attains 93.1% coverage and 92.2% exact-match accuracy, running locally on up to two NVIDIA L4 (24GB) GPUs. Despite strong performance in medical QA, the model exhibits prompt sensitivity and hallucination risks, necessitating schema-guided clinical deployments.written, reviewed, cited
  • The text-only 27B model scores 25.7 on MedXpertQA, significantly trailing Gemma 3 27B's 15.7.
medium.comabout the medgemma family
the-decoder.com2025-07-10about the medgemma familyHN 1 pts · 0 comments696 words
Google Research and DeepMind released MedGemma, an open-source AI model suite for medical applications at this year's I/O conference. The suite includes a 4B model and a 27B version that deliver up to 10 percent higher accuracy in multimodal Q&A and 15.5 to 18.1 percent better results for X-ray classification. A companion encoder, MedSigLIP, features 400 million parameters and processes images at a 448 x 448 pixel resolution.written, reviewed, cited
  • The license permits research and development but explicitly forbids direct medical diagnosis or treatment without regulatory approval.
  • MedSigLIP was trained on over 33 million image-text pairs where medical data constituted only 2 percent of the total dataset.
  • Reinforcement learning fine-tuning cut the error rate in electronic health record data retrieval by half.
All coverage tracked for this model (6) — append-only, nothing is ever removed
TitleSourcePublishedFirst seenSignals
MedGemma 3 27B: Medical Foundation Modelemergentmind.com—2026-10-09exa
Google's Breakthrough in Open Medical Multimodal Modelsmedgemma.pro—2026-10-09exa
Analyze Medical Images with MedGemma — A Technical Deep ...medium.com—2026-10-09exa
Google releases MedGemma 1.5 4B with medical image interpretationresearch.google official2026-01-142026-10-07hn
Google unveils MedGemma, an open-source AI model suite for medical applicationsthe-decoder.com2025-07-102026-10-07hn
MedGemma: Google's most capable open models for health AI developmentresearch.google official2025-07-102026-10-07hn, exa

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: 2026-10-25 · HF API: 2026-10-24 21:38 UTC · Providers: 2026-10-24 21:44 UTC · Articles: 2026-10-24 21:46 UTC · Summary: 2026-10-07 15:08 UTC · Last verified 2026-10-25

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