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Devstral Medium vs MedGemma 4B IT

Comparing Devstral Medium and MedGemma 4B IT across benchmarks, pricing, and capabilities.

Mistral AI · Google · Updated for 2026

Which is better?

Devstral Medium and MedGemma 4B IT trade strengths across price, capabilities, and technical limits. The better choice depends on the workload.

Based on current benchmark, pricing, and model metadata for 2026.

Choose Devstral Medium

  • you want the most recent training data — it shipped Jul 2025

Choose MedGemma 4B IT

  • you need open weights you can self-host or fine-tune

At a glance

The differences that matter most.

Devstral Medium
Mistral AI
MedGemma 4B IT
Google
Benchmark wins
—
—
Input price
$0.40 / M
— / M
Output price
$2.00 / M
— / M
Context window
128,000
—
Released
Jul 2025
May 2025
License
Proprietary
Health AI Developer Foundations terms of use

Performance Benchmarks

Comparative analysis across standard metrics

No common benchmarks found

Devstral Medium and MedGemma 4B ITdon't have any common benchmark datasets to compare. They may have been evaluated on different testing suites.

Arena Performance

Playground indexes and blind preference scores

Context Window

Maximum input and output token capacity

Only Devstral Medium specifies input context (128,000 tokens). Only Devstral Medium specifies output context (128,000 tokens).

Mistral AI
Devstral Medium
Input128,000 tokens
Output128,000 tokens
Google
MedGemma 4B IT
Input- tokens
Output- tokens
Wed Aug 26 2026 • llm-stats.com

Input Capabilities

Supported data types and modalities

MedGemma 4B IT supports multimodal inputs, whereas Devstral Medium does not.

MedGemma 4B IT can handle both text and other forms of data like images, making it suitable for multimodal applications.

Devstral Medium

Text
Images
Audio
Video

MedGemma 4B IT

Text
Images
Audio
Video

License

Usage and distribution terms

Devstral Medium is licensed under a proprietary license, while MedGemma 4B IT uses Health AI Developer Foundations terms of use.

License differences may affect how you can use these models in commercial or open-source projects.

Devstral Medium

Proprietary

Closed source

MedGemma 4B IT

Health AI Developer Foundations terms of use

Open weights

Release Timeline

When each model was launched

Devstral Medium was released on 2025-07-10, while MedGemma 4B IT was released on 2025-05-20.

Devstral Medium is 2 months newer than MedGemma 4B IT.

Devstral Medium

Jul 10, 2025

1.1 years ago

1mo newer
MedGemma 4B IT

May 20, 2025

1.3 years ago

Knowledge Cutoff

When training data ends

Neither model specifies a knowledge cutoff date.

Unable to compare the recency of their training data.

No cutoff dates available

Outputs Comparison

Notice missing or incorrect data?Start an Issue discussion→

Judge for yourself.

Run your own prompts against Devstral Medium and MedGemma 4B IT side-by-side, then vote on the output you prefer.

Devstral Medium
✓ Preferred
MedGemma 4B IT
Open in Playground

FAQ

Common questions about Devstral Medium vs MedGemma 4B IT.

Which is better, Devstral Medium or MedGemma 4B IT?

Devstral Medium (Mistral AI) and MedGemma 4B IT (Google) each have strengths in different areas. Compare their benchmark scores, pricing, context windows, and capabilities above to determine which fits your needs.

How does Devstral Medium compare to MedGemma 4B IT in benchmarks?

Devstral Medium scores SWE-Bench Verified: 61.6%. MedGemma 4B IT scores MIMIC CXR: 88.9%, DermMCQA: 71.8%, PathMCQA: 69.8%, SlakeVQA: 62.3%, VQA-Rad: 49.9%.

What are the context window sizes for Devstral Medium and MedGemma 4B IT?

Devstral Medium supports 128K tokens and MedGemma 4B IT supports an unknown number of tokens. A larger context window lets you process longer documents, conversations, or codebases in a single request.

What are the main differences between Devstral Medium and MedGemma 4B IT?

Key differences include multimodal support (no vs yes), licensing (Proprietary vs Health AI Developer Foundations terms of use). See the full comparison above for benchmark-by-benchmark results.

Who makes Devstral Medium and MedGemma 4B IT?

Devstral Medium is developed by Mistral AI and MedGemma 4B IT is developed by Google.

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