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Gemini 3.5 Flash-Lite vs MedGemma 4B IT

Gemini 3.5 Flash-Lite leads the LLM Stats Score 29.7 to -4.5.

Google · Google · Updated for 2026

Which is better?

Gemini 3.5 Flash-Lite leads the overall LLM Stats Score 29.7 to -4.5, ranking #130 overall.

Based on current LLM Stats indexes, shared benchmarks, pricing, and model metadata for 2026.

Choose Gemini 3.5 Flash-Lite

  • overall performance matters — it scores 29.7 and ranks #130 on LLM Stats
  • your work emphasizes reasoning — it leads those capability indexes
  • you want the most recent training data — it shipped Jul 2026

Choose MedGemma 4B IT

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

At a glance

The differences that matter most.

Gemini 3.5 Flash-Lite
Google
MedGemma 4B IT
Google
Core performance indexes
LLM Stats Score
29.7
#130
-4.5
#355
Reasoning
25.7
#155
-5.0
#352
Cost, coverage & limits
Benchmark wins
—
—
Input price
$0.30 / M
— / M
Output price
$2.50 / M
— / M
Context window
1,048,576
—

Capability indexes

Additional strengths measured across groups of related public benchmarks

2 shared
Index
Gemini 3.5 Flash-Lite
MedGemma 4B IT
Vision
19.3#79
-6.8#207
Multimodal
21.6#68
-5.4#168
Conservative TrueSkill rating · higher is betterHow scores work

Individual benchmarks

6 reported for Gemini 3.5 Flash-Lite · 7 for MedGemma 4B IT

No common benchmarks found

Gemini 3.5 Flash-Lite and MedGemma 4B ITdon't have any common benchmark datasets to compare. They may have been evaluated on different testing suites.

Human preference

Blind head-to-head votes and playground preference scores

Context Window

Maximum input and output token capacity

Only Gemini 3.5 Flash-Lite specifies input context (1,048,576 tokens). Only Gemini 3.5 Flash-Lite specifies output context (65,536 tokens).

Google
Gemini 3.5 Flash-Lite
Input1,048,576 tokens
Output65,536 tokens
Google
MedGemma 4B IT
Input- tokens
Output- tokens
Wed Sep 23 2026 • llm-stats.com

Input capabilities

Documented input modalities across available providers

Both Gemini 3.5 Flash-Lite and MedGemma 4B IT support multimodal inputs.

They are both capable of processing various types of data, offering versatility in application.

Gemini 3.5 Flash-Lite

Text
Images
Audio
Video

MedGemma 4B IT

Text
Images
Audio
Video

License

Usage and distribution terms

Gemini 3.5 Flash-Lite 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.

Gemini 3.5 Flash-Lite

Proprietary

Closed source

MedGemma 4B IT

Health AI Developer Foundations terms of use

Open weights

Release Timeline

When each model was launched

Gemini 3.5 Flash-Lite was released on 2026-07-21, while MedGemma 4B IT was released on 2025-05-20.

Gemini 3.5 Flash-Lite is 14 months newer than MedGemma 4B IT.

Gemini 3.5 Flash-Lite

Jul 21, 2026

2 months ago

1.2yr newer
MedGemma 4B IT

May 20, 2025

1.3 years ago

Knowledge Cutoff

When training data ends

Gemini 3.5 Flash-Lite has a documented knowledge cutoff of 2026-03-31, while MedGemma 4B IT's cutoff date is not specified.

We can confirm Gemini 3.5 Flash-Lite's training data extends to 2026-03-31, but cannot make a direct comparison without MedGemma 4B IT's cutoff date.

Gemini 3.5 Flash-Lite

Mar 2026

MedGemma 4B IT

—

Outputs Comparison

Notice missing or incorrect data?Start an Issue discussion→

Judge for yourself.

Run your own prompts against Gemini 3.5 Flash-Lite and MedGemma 4B IT side-by-side, then vote on the output you prefer.

Gemini 3.5 Flash-Lite
✓ Preferred
MedGemma 4B IT
Open in Playground

FAQ

Common questions about Gemini 3.5 Flash-Lite vs MedGemma 4B IT.

Which is better, Gemini 3.5 Flash-Lite or MedGemma 4B IT?

Gemini 3.5 Flash-Lite leads the LLM Stats Score 29.7 to -4.5. Gemini 3.5 Flash-Lite is made by Google and MedGemma 4B IT is made by Google. The best choice depends on your use case — compare their capability indexes, individual benchmarks, pricing, and limits above.

How does Gemini 3.5 Flash-Lite compare to MedGemma 4B IT in benchmarks?

Gemini 3.5 Flash-Lite scores CharXiv-R: 76.5%, OSWorld-Verified: 74.0%, SWE-Bench Pro: 54.2%, Terminal-Bench 2.1: 54.0%, MLE-Bench: 39.2%. 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 Gemini 3.5 Flash-Lite and MedGemma 4B IT?

Gemini 3.5 Flash-Lite supports 1.0M 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 Gemini 3.5 Flash-Lite and MedGemma 4B IT?

Key differences include LLM Stats Score (29.7 vs -4.5), licensing (Proprietary vs Health AI Developer Foundations terms of use). See the full comparison above for benchmark-by-benchmark results.

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