The AI arena is free today

Open Superagent

MedGemma 4B IT vs Nemotron 3.5 Bolt (74B A9B 24GB)

Nemotron 3.5 Bolt (74B A9B 24GB) leads the LLM Stats Score 29.6 to -4.8.

Google · NVIDIA · Updated for 2026

Which is better?

Nemotron 3.5 Bolt (74B A9B 24GB) leads the overall LLM Stats Score 29.6 to -4.8, ranking #146 overall.

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

Choose MedGemma 4B IT

  • you are already invested in the Google ecosystem

Choose Nemotron 3.5 Bolt (74B A9B 24GB)

  • overall performance matters — it scores 29.6 and ranks #146 on LLM Stats
  • your work emphasizes reasoning — it leads those capability indexes
  • you want the most recent training data — it shipped Oct 2026

At a glance

The differences that matter most.

MedGemma 4B IT
Google
Nemotron 3.5 Bolt (74B A9B 24GB)
NVIDIA
Core performance indexes
LLM Stats Score
-4.8
#374
29.6
#146
Reasoning
-5.2
#370
28.9
#146
Cost, coverage & limits
Benchmark wins
—
—
Input price
— / M
— / M
Output price
— / M
— / M
Context window
—
—

Individual benchmarks

7 reported for MedGemma 4B IT · 10 for Nemotron 3.5 Bolt (74B A9B 24GB)

No common benchmarks found

MedGemma 4B IT and Nemotron 3.5 Bolt (74B A9B 24GB)don'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

Model Size

Parameter count comparison

69.7B diff

Nemotron 3.5 Bolt (74B A9B 24GB) has 69.7B more parameters than MedGemma 4B IT, making it 1620.9% larger.

Google
MedGemma 4B IT
4.3Bparameters
NVIDIA
Nemotron 3.5 Bolt (74B A9B 24GB)
74.0Bparameters
4.3B
MedGemma 4B IT
74.0B
Nemotron 3.5 Bolt (74B A9B 24GB)

Input capabilities

Documented input modalities across available providers

Both MedGemma 4B IT and Nemotron 3.5 Bolt (74B A9B 24GB) support multimodal inputs.

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

MedGemma 4B IT

Text
Images
Audio
Video

Nemotron 3.5 Bolt (74B A9B 24GB)

Text
Images
Audio
Video

License

Usage and distribution terms

MedGemma 4B IT is licensed under Health AI Developer Foundations terms of use, while Nemotron 3.5 Bolt (74B A9B 24GB) uses OpenMDW License v1.1.

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

Nemotron 3.5 Bolt (74B A9B 24GB)

OpenMDW License v1.1

Open weights

Release Timeline

When each model was launched

MedGemma 4B IT was released on 2025-05-20, while Nemotron 3.5 Bolt (74B A9B 24GB) was released on 2026-10-15.

Nemotron 3.5 Bolt (74B A9B 24GB) is 17 months newer than MedGemma 4B IT.

MedGemma 4B IT

May 20, 2025

1.4 years ago

Nemotron 3.5 Bolt (74B A9B 24GB)

Oct 15, 2026

4 days ago

1.4yr newer

Knowledge Cutoff

When training data ends

Nemotron 3.5 Bolt (74B A9B 24GB) has a documented knowledge cutoff of 2026-05-01, while MedGemma 4B IT's cutoff date is not specified.

We can confirm Nemotron 3.5 Bolt (74B A9B 24GB)'s training data extends to 2026-05-01, but cannot make a direct comparison without MedGemma 4B IT's cutoff date.

MedGemma 4B IT

—

Nemotron 3.5 Bolt (74B A9B 24GB)

May 2026

Outputs Comparison

Notice missing or incorrect data?

Judge for yourself.

Run your own prompts against MedGemma 4B IT and Nemotron 3.5 Bolt (74B A9B 24GB) side-by-side, then vote on the output you prefer.

MedGemma 4B IT
✓ Preferred
Nemotron 3.5 Bolt (74B A9B 24GB)
Open in Playground

FAQ

Common questions about MedGemma 4B IT vs Nemotron 3.5 Bolt (74B A9B 24GB).

Which is better, MedGemma 4B IT or Nemotron 3.5 Bolt (74B A9B 24GB)?

Nemotron 3.5 Bolt (74B A9B 24GB) leads the LLM Stats Score 29.6 to -4.8. MedGemma 4B IT is made by Google and Nemotron 3.5 Bolt (74B A9B 24GB) is made by NVIDIA. The best choice depends on your use case — compare their capability indexes, individual benchmarks, pricing, and limits above.

How does MedGemma 4B IT compare to Nemotron 3.5 Bolt (74B A9B 24GB) in benchmarks?

MedGemma 4B IT scores MIMIC CXR: 88.9%, DermMCQA: 71.8%, PathMCQA: 69.8%, SlakeVQA: 62.3%, VQA-Rad: 49.9%. Nemotron 3.5 Bolt (74B A9B 24GB) scores PinchBench: 87.8%, GPQA: 86.4%, BrowseComp: 66.8%, AA-LCR: 64.1%, MCP Atlas: 52.2%.

What are the main differences between MedGemma 4B IT and Nemotron 3.5 Bolt (74B A9B 24GB)?

Key differences include LLM Stats Score (-4.8 vs 29.6), licensing (Health AI Developer Foundations terms of use vs OpenMDW License v1.1). See the full comparison above for benchmark-by-benchmark results.

Who makes MedGemma 4B IT and Nemotron 3.5 Bolt (74B A9B 24GB)?

MedGemma 4B IT is developed by Google and Nemotron 3.5 Bolt (74B A9B 24GB) is developed by NVIDIA.

Related comparisons