Models › medgemma family

medgemma-27b-text-it

google health-ai-developer-foundations out 17 months ago

27.0B parameters, text in, text out. 1 provider serves it.

Verified 2026-10-25 Rank #309 in LLMs · score 83.2 method v1 Sources 3 Downloads 30d 18.9k · #461 of 619 tracked

Can I run it?16GB 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?18.9kdownloads, 30 days#461 of 619 we track · below the median+10 likes, downloads −7% this week499 likesHugging Face2026-10-24

Worth reading

Picked by rule from 8 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

8 best of 8 tracked

The 1 pick above, plus these 7. Top is the radar's score: discussion, source authority and the lab's own posts, fading with age.

  1. ArticleMedGemma 1 model card | Health AI Developer Foundationsdevelopers.google.com · undated · official
  2. CodeGitHub - Google-Health/medgemmagithub.com · undated
  3. ArticleMedGemma: Google's most capable open models for health AI developmentresearch.google · 2025-07-10 · 1 HN pts · official
  4. ArticleMedGemma 3 27B: Medical Foundation Modelemergentmind.com · undated
  5. ArticleGoogle unveils MedGemma, an open-source AI model suite for medical applicationsthe-decoder.com · 2025-07-10 · 1 HN pts
  6. ArticleAnalyze Medical Images with MedGemma — A Technical Deep Dive | Google Cloud - Communitymedium.com · 2025-08-15
  7. ArticleMedGemma Technical Deep Dive: Google's Breakthrough in Open Medical Multimodal Models - medgemma.promedgemma.pro · 2025-01-16

Where to run it

Live hosted endpoints, cheapest first, USD per million tokens. Ties break on output price, then provider name.

#Cheapest live rowIn /1MOut /1MContextQuantSeen
1 Featherless — — — — Oct 25

All 1 provider →

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.

Served by 1 API provider; 32 quantized builds for local use.

  • As a service1Featherless
  • On own hardware32quantized builds
  • Built on3120 fine-tunes · 11 adapters · 0 merges
  • In apps27Hugging Face Spaces

Top Spaces running it: google/appoint-ready ♥ 208 · rishiraj/medgemma-27b-text-it ♥ 12 · ghitaben/AMR-Guard ♥ 2 · yipengsun/diagnostic-devils-advocate ♥ 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 16 GB at INT4, 32 GB at FP8, 65 GB at BF16: weights only, so leave room for the KV cache.

16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 16 GB of weights (estimate; KV cache and activations extra)INT416 GBFP8: about 32 GB of weights (estimate; KV cache and activations extra)FP832 GBBF16: about 65 GB of weights (estimate; KV cache and activations extra)BF1665 GB
16 GB card64 GB Mac2×80 GB8×80 GBINT4: about 16 GB of weights (estimate; KV cache and activations extra)INT416 GBFP8: about 32 GB of weights (estimate; KV cache and activations extra)FP832 GBBF16: about 65 GB of weights (estimate; KV cache and activations extra)BF1665 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

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

63 derivatives on the Hub, most of them quantized

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

32 quantized (Hugging Face model tree)20 fine-tunes (Hugging Face model tree)11 adapters (Hugging Face model tree)32 quantized20 fine-tunes11 adapters
32 quantized (Hugging Face model tree)20 fine-tunes (Hugging Face model tree)11 adapters (Hugging Face model tree)32 quantized20 fine-tunes11 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 tagtext-generation
Librarytransformers
ArchitecturesGemma3ForCausalLM
Model typegemma3_text
Params by dtypeBF16: 27,009,002,240
Size bandL
MoEno
Gatedauto
PapersarXiv:2507.05201, arXiv:2501.19393, arXiv:2303.15343, 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 · Gemma3ForCausalLM · 7050ef881ff0835f6890a47db1859a24c65481d6SGLang: supported · Gemma3ForCausalLM · 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-text-it: params × bytes/param × 1.2 overhead. KV cache and activations are extra. How this is computed.

BF16 (2 bytes/param)65 GB · Single high-end GPU (<80 GB)
FP8 (1 byte/param)32 GB · Single high-end GPU (<80 GB)
INT4 (0.5 bytes/param)16 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 63 derivatives on the Hub

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

quantized: 32finetune: 20adapter: 11

Top variants (40 shown, ranked by downloads)

Relation
Quant
Size
40 rows
Variant Relation Quant Params Band License Author Likes Downloads
bbarn4/medgemma-27b-text-it-GPTQ quantized GPTQ 4.81B M other bbarn4 1 340.6k
unsloth/medgemma-27b-text-it-bnb-4bit quantized -bnb 27.8B L other unsloth 3 203.9k
unsloth/medgemma-27b-text-it-GGUF quantized GGUF — — other unsloth 75 176.7k
ig1/medgemma-27b-text-it-FP8-Dynamic quantized -FP8 28.4B L other ig1 0 80.5k
lmstudio-community/medgemma-27b-text-it-MLX-4bit quantized MLX 28.4B L other lmstudio-community 5 42.6k
unsloth/medgemma-27b-text-it-unsloth-bnb-4bit quantized -bnb 27.0B L other unsloth 8 35.9k
unsloth/medgemma-27b-text-it finetune — 27.0B L other unsloth 9 18.4k
mradermacher/medgemma-27b-text-it-i1-GGUF quantized GGUF — — other mradermacher 2 15.7k
gaianet/medgemma-27b-text-it-GGUF quantized GGUF — — other gaianet 0 9.3k
second-state/medgemma-27b-text-it-GGUF quantized GGUF — — other second-state 0 9.2k
mlx-community/medgemma-27b-text-it-4bit quantized -4bit 28.4B L other mlx-community 3 8.4k
lmstudio-community/medgemma-27b-text-it-GGUF quantized GGUF — — other lmstudio-community 6 8.3k
DevQuasar/google.medgemma-27b-text-it-GGUF quantized GGUF — — — DevQuasar 3 8.3k
mradermacher/medgemma-27b-text-it-GGUF quantized GGUF — — other mradermacher 2 7.9k
mlx-community/medgemma-27b-text-it-8bit quantized -8bit 28.4B L other mlx-community 2 6.4k
turnio/medgemma-27b-text-it-FP8-Dynamic quantized -FP8 27.0B L other turnio 0 4.8k
mlx-community/medgemma-27b-text-it-bf16 finetune -bf16 28.4B L other mlx-community 4 2k
HarshBhanushali7705/medgemma-27b-text-it-GPTQ-4bit quantized GPTQ 27.0B L other HarshBhanushali7705 4 1.7k
fhai50032/medgemma-auto-fp8 quantized -fp8 27.0B L other fhai50032 0 1.7k
hllzmz/medgemma-mentalist-gguf quantized gguf — — apache-2.0 hllzmz 0 1.3k
litert-community/MedGemma-27B-IT finetune — — — other litert-community 25 0
succexxfull/medgemma-27b-text-it-8bit quantized -8bit 28.4B L other succexxfull 0 1.2k
jmarxsen/medgemma-27b-text-it-Q6_K-GGUF quantized Q6_K — — other jmarxsen 0 998
pszemraj/medgemma-27b-text-heretic_med finetune — 27.0B L other pszemraj 9 475
Gunulhona/Gemma-3-27B-Text-Only finetune — 27.0B L — Gunulhona 0 715
mlx-community/medgemma-27b-text-it-6bit quantized — 28.4B L other mlx-community 0 714
fernandoruiz/medgemma-27b-text-it-Q4_0-GGUF quantized Q4_0 — — other fernandoruiz 0 644
hllzmz/medgemma-mentalist finetune — 27.0B L apache-2.0 hllzmz 1 493
jmarxsen/medgemma-27b-text-it-Q4_K_M-GGUF quantized GGUF — — other jmarxsen 1 383
jorgedelpozolerida/medgemma-27b-text-it-Q8_0-GGUF quantized Q8_0 — — other jorgedelpozolerida 0 363
jorgedelpozolerida/medgemma-27b-text-it-Q4_K_M-GGUF quantized GGUF — — other jorgedelpozolerida 0 357
jorgedelpozolerida/medgemma-27b-text-it-Q3_K_M-GGUF quantized GGUF — — other jorgedelpozolerida 0 356
robbwh/medgemma-27b-text-it-Q4_K_M-GGUF quantized GGUF — — other robbwh 0 299
ConicCat/Gemma-3-Fornax-V3-27B finetune — 27.0B L gemma ConicCat 1 194
ArtusDev/google_medgemma-27b-text-it-EXL3 quantized EXL3 — — other ArtusDev 1 191
sarathi-balakrishnan/medgemma-27b-text-it-GGUF quantized GGUF — — other sarathi-balakrishnan 0 236
jmarxsen/medgemma-27b-text-it-Q5_K_M-GGUF quantized GGUF — — other jmarxsen 0 228
ThaiLLM/ThaiLLM-27B-Prescreen finetune — — — — ThaiLLM 3 9
sarathi-balakrishnan/medgemma-27b-text-it-GPTQ-INT4 quantized GPTQ 27.2B L other sarathi-balakrishnan 0 127
Bur3hani/kiswmod finetune — 300M S agpl-3.0 Bur3hani 0 105

All providers

1 provider · 1 endpoint

Where to run 1 providers · 1 endpoints

Hosted endpoints observed for medgemma-27b-text-it, sorted by input price (USD per million tokens). Each row names its observer and date; prices change daily, so check the source before quoting.

ProviderModel refContextQuant$/M in$/M outtok/sTTFTToolsStatusObserved
Featherless
hf
google/medgemma-27b-text-it — — — — — — — live 2026-10-25

Articles and coverage

8 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.

Official3

developers.google.comofficialabout the medgemma family4,491 words
Google released MedGemma, a collection of Gemma 3 variants trained for medical text and image comprehension. The models require transformers 4.50.0 and are governed by the Health AI Developer Foundations terms of use. Multimodal versions utilize a SigLIP image encoder pre-trained on de-identified medical data, while the 27B multimodal variant includes FHIR-based electronic health record data in its training set.written, reviewed, cited
  • The 27B text-only variant is trained exclusively on medical text and lacks image comprehension capabilities.
  • For image-based tasks without text generation, the MedSigLIP image encoder is recommended over the multimodal models.
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.

Analysis4

github.comauthorityabout the medgemma family249 words
MedGemma is a collection of Gemma 3 variants trained for medical text and image comprehension. The 4B multimodal version utilizes a SigLIP image encoder pre-trained on de-identified medical data including chest X-rays and histopathology slides, while a 27B text-only version is also available. Developers can fine tune MedGemma variants for improved performance, and the models are accessible on Hugging Face or Model Garden. While the model operates under the Health AI Developer Foundations License, the repository code is licensed under the Apache 2.0 license.written, reviewed, cited
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.
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.
medium.com2025-08-15about the medgemma family
All coverage tracked for this model (8) — append-only, nothing is ever removed

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).

Similar models

3 models

Similar models

  • gemma-2-27b-it · 27.2B
    same size band (L), same task (text-generation), more providers
  • Qwen3-32B · 32.8B
    same size band (L), same task (text-generation), more providers, permissive license
  • Qwen2.5-Coder-32B-Instruct · 32.8B
    same size band (L), same task (text-generation), more providers, permissive license

Sources

3 sources

Sources

Hub snapshot: 2026-10-25 · HF API: 2026-10-24 21:37 UTC · Providers: 2026-10-24 21:44 UTC · Articles: 2026-10-24 21:45 UTC · Summary: 2026-10-07 15:07 UTC · Last verified 2026-10-25

Follow medgemma-27b-text-it

Watch this model

Email alerts are not open yet; the feeds above are the same data. See feeds for the item schema.