Gemma 4 E2B vs MedGemma 4B IT
Gemma 4 E2B and MedGemma 4B IT are closely matched at 6.8 and -4.5 on the LLM Stats Score.
Google · Google · Updated for 2026
Which is better?
Gemma 4 E2B and MedGemma 4B IT are closely matched on the overall LLM Stats Score at 6.8 and -4.5.
In the 1 individual benchmarks reported for both models, Gemma 4 E2B wins 1; this is a narrower head-to-head signal than the composite indexes.
Based on current LLM Stats indexes, shared benchmarks, pricing, and model metadata for 2026.
Choose Gemma 4 E2B
- you value its reported benchmark strengths — it wins 1 of 1 exact shared results
- you want the most recent training data — it shipped Apr 2026
Choose MedGemma 4B IT
- you are already invested in the Google ecosystem
At a glance
The differences that matter most.
Capability indexes
Additional strengths measured across groups of related public benchmarks
Individual benchmarks
11 reported for Gemma 4 E2B · 7 for MedGemma 4B IT
Gemma 4 E2B outperforms in 1 benchmarks (MedXpertQA), while MedGemma 4B IT is better at 0 benchmarks.
Gemma 4 E2B significantly outperforms across most benchmarks.
Human preference
Blind head-to-head votes and playground preference scores
Model Size
Parameter count comparison
Gemma 4 E2B has 0.8B more parameters than MedGemma 4B IT, making it 18.6% larger.
Input capabilities
Documented input modalities across available providers
Both Gemma 4 E2B and MedGemma 4B IT support multimodal inputs.
They are both capable of processing various types of data, offering versatility in application.
Gemma 4 E2B
MedGemma 4B IT
License
Usage and distribution terms
Gemma 4 E2B is licensed under Apache 2.0, 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.
Apache 2.0
Open weights
Health AI Developer Foundations terms of use
Open weights
Release Timeline
When each model was launched
Gemma 4 E2B was released on 2026-04-02, while MedGemma 4B IT was released on 2025-05-20.
Gemma 4 E2B is 11 months newer than MedGemma 4B IT.
Apr 2, 2026
5 months ago
10mo newerMay 20, 2025
1.3 years ago
Knowledge Cutoff
When training data ends
Gemma 4 E2B has a documented knowledge cutoff of 2025-01-01, while MedGemma 4B IT's cutoff date is not specified.
We can confirm Gemma 4 E2B's training data extends to 2025-01-01, but cannot make a direct comparison without MedGemma 4B IT's cutoff date.
Jan 2025
—
Outputs Comparison
Judge for yourself.
Run your own prompts against Gemma 4 E2B and MedGemma 4B IT side-by-side, then vote on the output you prefer.
FAQ
Common questions about Gemma 4 E2B vs MedGemma 4B IT.