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Grok-4.1 vs MedGemma 4B IT

Grok-4.1 leads the LLM Stats Score 19.6 to -4.5.

xAI · Google · Updated for 2026

Which is better?

Grok-4.1 leads the overall LLM Stats Score 19.6 to -4.5, ranking #200 overall.

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

Choose Grok-4.1

  • overall performance matters — it scores 19.6 and ranks #200 on LLM Stats
  • your work emphasizes reasoning — it leads those capability indexes
  • you want the most recent training data — it shipped Nov 2025

Choose MedGemma 4B IT

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

At a glance

The differences that matter most.

Grok-4.1
xAI
MedGemma 4B IT
Google
Core performance indexes
LLM Stats Score
19.6
#200
-4.5
#348
Reasoning
20.4
#186
-5.0
#345
Cost, coverage & limits
Benchmark wins
—
—
Input price
$3.00 / M
— / M
Output price
$15.00 / M
— / M
Context window
256,000
—

Individual benchmarks

4 reported for Grok-4.1 · 7 for MedGemma 4B IT

No common benchmarks found

Grok-4.1 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 Grok-4.1 specifies input context (256,000 tokens). Only Grok-4.1 specifies output context (8,000 tokens).

xAI
Grok-4.1
Input256,000 tokens
Output8,000 tokens
Google
MedGemma 4B IT
Input- tokens
Output- tokens
Sun Sep 13 2026 • llm-stats.com

Input capabilities

Documented input modalities across available providers

Both Grok-4.1 and MedGemma 4B IT support multimodal inputs.

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

Grok-4.1

Text
Images
Audio
Video

MedGemma 4B IT

Text
Images
Audio
Video

License

Usage and distribution terms

Grok-4.1 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.

Grok-4.1

Proprietary

Closed source

MedGemma 4B IT

Health AI Developer Foundations terms of use

Open weights

Release Timeline

When each model was launched

Grok-4.1 was released on 2025-11-17, while MedGemma 4B IT was released on 2025-05-20.

Grok-4.1 is 6 months newer than MedGemma 4B IT.

Grok-4.1

Nov 17, 2025

10 months ago

6mo 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 Grok-4.1 and MedGemma 4B IT side-by-side, then vote on the output you prefer.

Grok-4.1
✓ Preferred
MedGemma 4B IT
Open in Playground

FAQ

Common questions about Grok-4.1 vs MedGemma 4B IT.

Which is better, Grok-4.1 or MedGemma 4B IT?

Grok-4.1 leads the LLM Stats Score 19.6 to -4.5. Grok-4.1 is made by xAI 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 Grok-4.1 compare to MedGemma 4B IT in benchmarks?

Grok-4.1 scores FActScore: 97.0%, Creative Writing v3: 85.4%, EQ-Bench: 79.3%, LMArena Text Leaderboard: 73.3%. 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 Grok-4.1 and MedGemma 4B IT?

Grok-4.1 supports 256K 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 Grok-4.1 and MedGemma 4B IT?

Key differences include LLM Stats Score (19.6 vs -4.5), licensing (Proprietary vs Health AI Developer Foundations terms of use). See the full comparison above for benchmark-by-benchmark results.

Who makes Grok-4.1 and MedGemma 4B IT?

Grok-4.1 is developed by xAI and MedGemma 4B IT is developed by Google.

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