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GLM-5.3 vs MedGemma 4B IT

Comparing GLM-5.3 and MedGemma 4B IT across benchmarks, pricing, and capabilities.

Zhipu AI · Google · Updated for 2026

Which is better?

GLM-5.3 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 GLM-5.3

  • you want the most recent training data — it shipped Aug 2026

Choose MedGemma 4B IT

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

At a glance

The differences that matter most.

Benchmark wins
Input price
$1.40 / M
— / M
Output price
$4.40 / M
— / M
Context window
1,000,000
Released
Aug 2026
May 2025
License
Unknown
Health AI Developer Foundations terms of use

Performance Benchmarks

Comparative analysis across standard metrics

No common benchmarks found

GLM-5.3 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

Model Size

Parameter count comparison

748.7B diff

GLM-5.3 has 748.7B more parameters than MedGemma 4B IT, making it 17411.6% larger.

Zhipu AI
GLM-5.3
753.0Bparameters
Google
MedGemma 4B IT
4.3Bparameters
753.0B
GLM-5.3
4.3B
MedGemma 4B IT

Context Window

Maximum input and output token capacity

Only GLM-5.3 specifies input context (1,000,000 tokens). Only GLM-5.3 specifies output context (131,072 tokens).

Zhipu AI
GLM-5.3
Input1,000,000 tokens
Output131,072 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 GLM-5.3 does not.

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

GLM-5.3

Text
Images
Audio
Video

MedGemma 4B IT

Text
Images
Audio
Video

Release Timeline

When each model was launched

GLM-5.3 was released on 2026-08-14, while MedGemma 4B IT was released on 2025-05-20.

GLM-5.3 is 15 months newer than MedGemma 4B IT.

GLM-5.3

Aug 14, 2026

1 weeks ago

1.2yr 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 GLM-5.3 and MedGemma 4B IT side-by-side, then vote on the output you prefer.

GLM-5.3
✓ Preferred
MedGemma 4B IT
Open in Playground

FAQ

Common questions about GLM-5.3 vs MedGemma 4B IT.

Which is better, GLM-5.3 or MedGemma 4B IT?

GLM-5.3 (Zhipu 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 GLM-5.3 compare to MedGemma 4B IT in benchmarks?

GLM-5.3 scores Terminal-Bench 2.1: 88.2%, CyberGym: 84.5%, FrontierSWE: 78.1%, Toolathlon: 73.0%, DeepSWE 1.1: 66.9%. 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 GLM-5.3 and MedGemma 4B IT?

GLM-5.3 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 GLM-5.3 and MedGemma 4B IT?

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

Who makes GLM-5.3 and MedGemma 4B IT?

GLM-5.3 is developed by Zhipu AI and MedGemma 4B IT is developed by Google.