Benchmark Almanac

MedXpertQA-MM

Qwen 3.8 Max 80.4% leads since August 2026
o1 56.3% leads since January 2025
Qwen 3.8 Max 80.4% leads since August 2026
In use

Models answer expert-level medical exam questions that combine images with clinical records and test results. Scoring is accuracy.

This is the multimodal subset of MedXpertQA, which has 4,460 questions in total across its Text and MM subsets.

Released
January 2025
Kind
Medicine
Level
Expert
Scored
Checked automatically
Answers
Multiple choice
Tasks
All public
Strongest model tested
Qwen 3.8 Max #29 on the capability index
Last in a launch post
August 2026
Last model added
October 2026
Scores refreshed
November 12th, 2026

In the authors’ words

We introduce MedXpertQA, a highly challenging and comprehensive benchmark to evaluate expert-level medical knowledge and advanced reasoning. MedXpertQA includes 4,460 questions spanning 17 specialties and 11 body systems. It includes two subsets, Text for text evaluation and MM for multimodal evaluation. Notably, MM introduces expert-level exam questions with diverse images and rich clinical information, including patient records and examination results, setting it apart from traditional medical multimodal benchmarks with simple QA pairs generated from image captions. MedXpertQA applies rigorous filtering and augmentation to address the insufficient difficulty of existing benchmarks like MedQA, and incorporates specialty board questions to improve clinical relevance and comprehensiveness. We perform data synthesis to mitigate data leakage risk and conduct multiple rounds of expert reviews to ensure accuracy and reliability. We evaluate 18 leading models on \benchmark. Moreover, medicine is deeply connected to real-world decision-making, providing a rich and representative setting for assessing reasoning abilities beyond mathematics and code. To this end, we develop a reasoning-oriented subset to facilitate the assessment of o1-like models. Code and data are available at: https://github.com/TsinghuaC3I/MedXpertQA

Abstract of MedXpertQA: Benchmarking Expert-Level Medical Reasoning and Understanding (arXiv:2501.18362, CC0)
21
Models scored in lab cards
20
Launch posts list it, from 5 labs
7
System cards report it, from 4 labs

Qwen 3.8 Max leads with 80.4%

Best score per model as labs report them in their own cards. Labs pick their own settings, so these compare less cleanly than independent runs.

o1 leads with 56.3% across all independent runs

Best score per model across the official leaderboard, Epoch AI’s own runs and any board Epoch AI copied. Each bar and row names its source.

Qwen 3.8 Max leads with 80.4%, claims included

Best score per model from every source, including labs’ own numbers and claims Epoch AI collected from reports and papers. Labs pick their own settings, so a claim can beat an independent run of the same model.

  1. 1 Qwen 3.8 Max 80.4%
  2. 2 Seed2.0 Lite (0428) 79.6%
  3. 3 Muse Spark 78.4%
  4. 4 Qwen3.7-Plus 71%
  5. 5 Qwen3.5 397B-A17B 70%
  6. 6 Qwen3.5-122B-A10B 67.3%
  7. 7 Qwen3.5-27B 62.4%
  8. 8 Qwen3.5-35B-A3B 61.4%
  9. 9 Gemma 4 31B IT 61.3%
  10. 10 Gemma 4 26B A4B 58.1%
  11. 11 Qwen3.5-Omni-Plus 54.7%
  12. 12 Qwen3.5-9B 49.9%
  13. 13 DiffusionGemma 26B A4B 49%
  14. 14 Gemma 4 12B 48.7%
  15. 15 Qwen3.5-4B 42.9%
  16. 16 EXAONE 4.5 33B 42.1%
  17. 17 Gemma 4 E4B 28.7%
  18. 18 Qwen3.5-2B 26.9%
  19. 19 Nemotron 3.5 Bolt E4B 26.9%
  20. 20 Gemma 4 E2B 23.5%
  21. 21 Qwen3.5-0.8B 17.1%

Source: Labs’ model cards

#ModelScoreSettingDateSource
1 Qwen 3.8 Max 80.4% Aug 2026 Lab model card
2 Seed2.0 Lite (0428) 79.6% Apr 2026 Lab model card
3 Muse Spark 78.4% Apr 2026 Lab model card
4 Qwen3.7-Plus 71% Jun 2026 Lab model card
5 Qwen3.5 397B-A17B 70% Feb 2026 Lab model card
6 Qwen3.5-122B-A10B 67.3% Feb 2026 Lab model card
7 Qwen3.5-27B 62.4% Feb 2026 Lab model card
8 Qwen3.5-35B-A3B 61.4% Feb 2026 Lab model card
9 Gemma 4 31B IT 61.3% Apr 2026 Lab model card
10 Gemma 4 26B A4B 58.1% Apr 2026 Lab model card
11 Qwen3.5-Omni-Plus 54.7% Mar 2026 Lab model card
12 Qwen3.5-9B 49.9% Mar 2026 Lab model card
13 DiffusionGemma 26B A4B 49% Jun 2026 Lab model card
14 Gemma 4 12B 48.7% Jun 2026 Lab model card
15 Qwen3.5-4B 42.9% Mar 2026 Lab model card
16 EXAONE 4.5 33B 42.1% Apr 2026 Lab model card
17 Gemma 4 E4B 28.7% Apr 2026 Lab model card
18 Qwen3.5-2B 26.9% Mar 2026 Lab model card
19 Nemotron 3.5 Bolt E4B 26.9% Oct 2026 Lab model card
20 Gemma 4 E2B 23.5% Apr 2026 Lab model card
21 Qwen3.5-0.8B 17.1% Mar 2026 Lab model card
#ModelScoreSettingDateSource
1 o1 56.3% Dec 2024 Official leaderboard
2 GPT-4o Aug 2024 42.8% Aug 2024 Official leaderboard
3 Gemini 2.0 Flash Dec 2024 37.2% Dec 2024 Official leaderboard
4 Gemini 1.5 Pro May 2024 34.1% May 2024 Official leaderboard
5 QVQ-72B-Preview 33.5% Dec 2024 Official leaderboard
6 Claude 3.5 Sonnet 33.2% Jun 2024 Official leaderboard
7 Qwen2.5-VL-72B 29.9% Jan 2025 Official leaderboard
8 Qwen2-VL-72B-Instruct 28.4% Aug 2024 Official leaderboard
9 GPT-4o mini 28.1% Jul 2024 Official leaderboard
#ModelScoreSettingDateSource
1 Qwen 3.8 Max 80.4% Aug 2026 Lab model card
2 Seed2.0 Lite (0428) 79.6% Apr 2026 Lab model card
3 Muse Spark 78.4% Apr 2026 Lab model card
4 Qwen3.7-Plus 71% Jun 2026 Lab model card
5 Qwen3.5 397B-A17B 70% Feb 2026 Lab model card
6 Qwen3.5-122B-A10B 67.3% Feb 2026 Lab model card
7 Qwen3.5-27B 62.4% Feb 2026 Lab model card
8 Qwen3.5-35B-A3B 61.4% Feb 2026 Lab model card
9 Gemma 4 31B IT 61.3% Apr 2026 Lab model card
10 Gemma 4 26B A4B 58.1% Apr 2026 Lab model card
11 o1 56.3% Dec 2024 Official leaderboard
12 Qwen3.5-Omni-Plus 54.7% Mar 2026 Lab model card
13 Qwen3.5-9B 49.9% Mar 2026 Lab model card
14 DiffusionGemma 26B A4B 49% Jun 2026 Lab model card
15 Gemma 4 12B 48.7% Jun 2026 Lab model card
16 Qwen3.5-4B 42.9% Mar 2026 Lab model card
17 GPT-4o Aug 2024 42.8% Aug 2024 Official leaderboard
18 EXAONE 4.5 33B 42.1% Apr 2026 Lab model card
19 Gemini 2.0 Flash Dec 2024 37.2% Dec 2024 Official leaderboard
20 Gemini 1.5 Pro May 2024 34.1% May 2024 Official leaderboard
21 QVQ-72B-Preview 33.5% Dec 2024 Official leaderboard
22 Claude 3.5 Sonnet 33.2% Jun 2024 Official leaderboard
23 Qwen2.5-VL-72B 29.9% Jan 2025 Official leaderboard
24 Gemma 4 E4B 28.7% Apr 2026 Lab model card
25 Qwen2-VL-72B-Instruct 28.4% Aug 2024 Official leaderboard
26 GPT-4o mini 28.1% Jul 2024 Official leaderboard
27 Qwen3.5-2B 26.9% Mar 2026 Lab model card
28 Nemotron 3.5 Bolt E4B 26.9% Oct 2026 Lab model card
29 Gemma 4 E2B 23.5% Apr 2026 Lab model card
30 Qwen3.5-0.8B 17.1% Mar 2026 Lab model card

The benchmark's own leaderboard has 9 models. Switch the scores above to rank them together.

4 models have held number one in labs’ own numbers since its release in January 2025 Number one over time 5 models have held number one with claims included since its release in January 2025

Lab claims count from the day the card came out, independent runs from the model’s release. We draw one row each for the benchmark’s own leaderboard and what labs claim in their cards.

OpenAI Qwen Meta ByteDance Seed
Own leaderboard Not tested since Jan 2025
o1 56.3%
Lab claims 4 leaders
Qwen 3.8 Max 80.4%

Sources: Official MedXpertQA-MM leaderboard and labs’ model cards

Scores over time

All the scores we have, one dot each, so a model tested at several settings appears more than once.

On the benchmark’s own leaderboard Reported by the lab in its model card Best so far
0% 20% 40% 60% 80% 100% 2024 2025 2026 2027 Near the ceiling (85%) Qwen 3.8 Max Qwen3.5 397B-A17B o1 GPT-4o Gemini 1.5 Pro 0% 20% 40% 60% 80% 100% 2024 2025 2026 2027 Near the ceiling (85%) Qwen 3.8 Max Qwen3.5 397B-A17B

Sources: Official MedXpertQA-MM leaderboard and labs’ model cards

2 labs put it in a launch post in the last six months

Launch posts from every lab that has listed it, one tick per post. Tall colored ticks include it, and short gray ones leave it out.

Qwen
Google DeepMind
Meta
LG AI Research
ByteDance Seed
DateLaunch postScoreAs the post writes it
Aug 3, 2026 Qwen 3.8 Max 80.4 MedXpertQA-MM
Jun 10, 2026 DiffusionGemma 26B A4B 49 MedXPertQA MM
Jun 3, 2026 Gemma 4 12B 48.7 MedXPertQA MM
Jun 1, 2026 Qwen3.7-Plus 71 MedXpertQA-MM
Apr 28, 2026 Seed2.0 Lite (0428) 79.6 MedXpertQA-MM
Apr 9, 2026 EXAONE 4.5 33B 42.1 MedXpertQA-MM
Apr 8, 2026 Muse Spark 78.4 MedXpertQA (MM)
Apr 2, 2026 Gemma 4 E4B 28.7 MedXPertQA MM
Apr 2, 2026 Gemma 4 E2B 23.5 MedXPertQA MM
Apr 2, 2026 Gemma 4 26B A4B 58.1 MedXPertQA MM
Apr 2, 2026 Gemma 4 31B IT 61.3 MedXPertQA MM
Mar 30, 2026 Qwen3.5-Omni-Plus 54.7 MedXpertQA-MM
Mar 2, 2026 Qwen3.5-0.8B 17.1 MedXpertQA-MM 17.1/25.3 (with CI / without CI)
Mar 2, 2026 Qwen3.5-2B 26.9 MedXpertQA-MM 26.9/19.1 (with CI / without CI)
Mar 2, 2026 Qwen3.5-4B 42.9 MedXpertQA-MM
Mar 2, 2026 Qwen3.5-9B 49.9 MedXpertQA-MM
Feb 24, 2026 Qwen3.5-35B-A3B 61.4 MedXpertQA-MM
Feb 24, 2026 Qwen3.5-27B 62.4 MedXpertQA-MM
Feb 24, 2026 Qwen3.5-122B-A10B 67.3 MedXpertQA-MM
Feb 16, 2026 Qwen3.5 397B-A17B 70 MedXpertQA-MM

7 system cards report it, from 4 labs

Besides launch posts, we read the system cards, model cards and technical reports labs publish with a release. They report far more, including safety and frontier-risk tests.

DateDocumentScoreAs the document writes itSection
Oct 23, 2026 Nemotron 3.5 Bolt E4B technical report 26.9 MedXpertQA Vision, reasoning, 23.10 non-reasoning (Table 8) Health
Jul 24, 2026 Gemma 4 E4B technical report 28.7 MedXPertQA MM, max resolution, thinking (Table 6) Capabilities
Jul 24, 2026 Gemma 4 E2B technical report 23.5 MedXPertQA MM, max resolution, thinking (Table 6) Capabilities
Jul 24, 2026 Gemma 4 31B IT technical report 61.3 MedXPertQA MM, thinking, max resolution (Table 6) Capabilities
Jul 24, 2026 Gemma 4 26B A4B technical report 58.1 MedXPertQA MM, thinking, max resolution (Table 6) Capabilities
Apr 17, 2026 Qwen3.5-Omni-Plus technical report 54.7 MedXpertQA-MM (Table 6) Health
Apr 9, 2026 EXAONE 4.5 33B technical report 42.1 MedXpertQA-MM (Table 2, Reasoning mode) Health

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