Model Comparison

MedGemma 4B IT vs Mistral Small 3 24B BaseWhich is better in 2026?

Comparing MedGemma 4B IT and Mistral Small 3 24B Base across benchmarks, pricing, and capabilities.

Verdict: MedGemma 4B IT vs Mistral Small 3 24B Base — which is better?

MedGemma 4B IT (by Google) and Mistral Small 3 24B Base (by Mistral AI) are two of the AI models people compare most. Here is how they stack up on benchmarks, price and capabilities, and which one to pick in 2026.

Choose MedGemma 4B IT if…

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

Choose Mistral Small 3 24B Base if…

  • you are already invested in the Mistral AI ecosystem

Performance Benchmarks

Comparative analysis across standard metrics

No common benchmarks found

MedGemma 4B IT and Mistral Small 3 24B Basedon't have any common benchmark datasets to compare. They may have been evaluated on different testing suites.

Arena Performance

Human preference votes

Model Size

Parameter count comparison

19.3B diff

Mistral Small 3 24B Base has 19.3B more parameters than MedGemma 4B IT, making it 448.8% larger.

Google
MedGemma 4B IT
4.3Bparameters
Mistral AI
Mistral Small 3 24B Base
23.6Bparameters
4.3B
MedGemma 4B IT
23.6B
Mistral Small 3 24B Base

Input Capabilities

Supported data types and modalities

Both MedGemma 4B IT and Mistral Small 3 24B Base support multimodal inputs.

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

MedGemma 4B IT

Text
Images
Audio
Video

Mistral Small 3 24B Base

Text
Images
Audio
Video

License

Usage and distribution terms

MedGemma 4B IT is licensed under Health AI Developer Foundations terms of use, while Mistral Small 3 24B Base uses Apache 2.0.

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

MedGemma 4B IT

Health AI Developer Foundations terms of use

Open weights

Mistral Small 3 24B Base

Apache 2.0

Open weights

Release Timeline

When each model was launched

MedGemma 4B IT was released on 2025-05-20, while Mistral Small 3 24B Base was released on 2025-01-30.

MedGemma 4B IT is 4 months newer than Mistral Small 3 24B Base.

MedGemma 4B IT

May 20, 2025

1.2 years ago

3mo newer
Mistral Small 3 24B Base

Jan 30, 2025

1.5 years ago

Knowledge Cutoff

When training data ends

Mistral Small 3 24B Base has a documented knowledge cutoff of 2023-10-01, while MedGemma 4B IT's cutoff date is not specified.

We can confirm Mistral Small 3 24B Base's training data extends to 2023-10-01, but cannot make a direct comparison without MedGemma 4B IT's cutoff date.

MedGemma 4B IT

—

Mistral Small 3 24B Base

Oct 2023

Outputs Comparison

Notice missing or incorrect data?Start an Issue discussion→

Key Takeaways

Google

No standout differentiators in the data we have for this pair.

Mistral AI

No standout differentiators in the data we have for this pair.

Detailed Comparison

Interactive Arena

Judge for yourself.

Run your own prompts against MedGemma 4B IT and Mistral Small 3 24B Base side-by-side, then vote on the output you prefer.

MedGemma 4B IT
✓ Preferred
Mistral Small 3 24B Base
Open in Playground
AI Model Comparison Table
Feature
Google
MedGemma 4B IT
Mistral AI
Mistral Small 3 24B Base

FAQ

Common questions about MedGemma 4B IT vs Mistral Small 3 24B Base.

Which is better, MedGemma 4B IT or Mistral Small 3 24B Base?

MedGemma 4B IT (Google) and Mistral Small 3 24B Base (Mistral AI) each have strengths in different areas. Compare their benchmark scores, pricing, context windows, and capabilities above to determine which fits your needs.

How does MedGemma 4B IT compare to Mistral Small 3 24B Base in benchmarks?

MedGemma 4B IT scores MIMIC CXR: 88.9%, DermMCQA: 71.8%, PathMCQA: 69.8%, SlakeVQA: 62.3%, VQA-Rad: 49.9%. Mistral Small 3 24B Base scores ARC-C: 91.3%, GSM8k: 80.7%, MMLU: 80.7%, TriviaQA: 80.3%, MBPP: 69.6%.

What are the main differences between MedGemma 4B IT and Mistral Small 3 24B Base?

Key differences include licensing (Health AI Developer Foundations terms of use vs Apache 2.0). See the full comparison above for benchmark-by-benchmark results.

Who makes MedGemma 4B IT and Mistral Small 3 24B Base?

MedGemma 4B IT is developed by Google and Mistral Small 3 24B Base is developed by Mistral AI.

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