Project AURIONAI Use-Cases Research & Innovation
Google
multimodal LLMfamily

MedGemma

Google's medical model family built on Gemma 3, with 4B multimodal, 27B text-only and 27B multimodal variants plus MedGemma 1.5 4B. Outputs are not for direct clinical decision-making per the model card.

Figure from the MedGemma paper: Overview of model capabilities within the MedGemma collection.
Levelfamily
Classmultimodal LLM
Parametersnot in the notes
Contextnot in the notes
Releasednot in the notes
Opennessopen weights restricted
Runs onnot in the notes
Statusnot in the notes

Benchmark Results

vendor-reported
MedGemma 27B textvendor-reported
84
050100

Score in %. Higher is better.

MedGemma 27B textvendor-reported
56.2
050100

Score in %. Higher is better.

CheXpertdomain
MedGemma 4BOut of distributionvendor-reported
48.1
04590

Score in macro F1. Higher is better.

Jul 2025 arxiv.org
MedMCQAdomain
MedGemma 27B textvendor-reported
74.2
050100

Score in %. Higher is better.

MedQAdomain
MedGemma 27B text27B, best-of-5vendor-reported
89.8
MedGemma 27B text27B, 0-shot with test-time scalingvendor-reported
87.7
MedGemma 4Bvendor-reported
64.4
050100

Score in %. Higher is better.

MIMIC-CXRdomain
MedGemma 4BMed-Gemini test splitvendor-reported
88.9
04590

Score in macro F1. Higher is better.

Jul 2025 arxiv.org
MMLU Meddomain
MedGemma 27B textvendor-reported
87
050100

Score in %. Higher is better.

PubMedQAdomain
MedGemma 27B textvendor-reported
76.8
050100

Score in %. Higher is better.

MedGemma 4BFine-tunedvendor-reported
30.3
02040

Score in F1. Higher is better.

Jul 2025 arxiv.org
Where this comes from
Every score names who ran it: vendor-reported, maintainer-run or independent. A rank is shown with the population it was ranked in (gap rule 3).

Lineage

202520262027MedGemma 27B textMedGemma 27B text, May 2025MedGemma 1.5 4BMedGemma 1.5 4B, Apr 2026

3 members have no release date in the notes, so they are not on this timeline.

GoogleMedGemma 1.5 4B belongs to this familymultimodal LLM6 Apr 20264B
GoogleMedGemma 27B text belongs to this familyLLM19 May 202527B
GoogleMedGemma 27B multimodal belongs to this familymultimodal LLM27B
GoogleMedGemma 4B belongs to this familymultimodal LLM4B
GoogleMedSigLIP belongs to this familyvision400M
Where this comes from
Parent and child relations from model cards, Hugging Face base_model fields and the genealogy tables of the research notes. Confidence and evidence are the notes' own.

R&D Topics

Identity

Developer
Google
Family
not in the notes
Released
– sources
Weights published
–
Record checked
10 Oct 2026
Where this comes from
Developer and dates from the research notes. Release date is the vendor's public announcement; weights date is when open weights were published.

Architecture and Size

Architecture
not in the notes
Total parameters
– sources
Active parameters
–
Checkpoint parameters
–
Context length
not in the notes
Input
not in the notes
Output
not in the notes
Where this comes from
Parameter counts as the developer states them. Where the checkpoint holds a different total, both are shown (register A16).

Openness and Access

Openness
open weights restricted
Licence
Health AI Developer Foundations terms of use sources
Access routes
open weights download
Where this comes from
The licence file governs over registry tags and aggregator labels.

Deployment

Runs on
not in the notes
Footprint
not in the notes
Runtimes
not in the notes
Where this comes from
Deployment tiers and runtimes as named in the notes. Footprint is the notes' figure, not a measurement by AURION.

Indonesia

Indonesian support
not stated
Regional languages
not in the notes
Jakarta hosting
unknown
Languages
not in the notes
Where this comes from
Indonesia fields are carried on every model; unknown is an allowed value.

Industry Use Cases

No industry use case links this model.

Sources

  1. MedGemma 1.5 Technical Report arxiv.org https://arxiv.org/abs/2604.05081
  2. MedGemma Technical Report arxiv.org https://arxiv.org/html/2507.05201v2
  3. google/medgemma-27b-text-it , Hugging Face huggingface.co https://huggingface.co/google/medgemma-27b-text-it

To cite this page: Project AURION, AI Use-Cases Research & Innovation, "MedGemma", https://aurion.semai.id/models/google-medgemma/, records of October 2026.