MedGemma 4B IT vs Qwen3.5-35B-A3B
Qwen3.5-35B-A3B leads the LLM Stats Score 31.0 to -4.5.
Google · Alibaba Cloud / Qwen Team · Updated for 2026
Which is better?
Qwen3.5-35B-A3B leads the overall LLM Stats Score 31.0 to -4.5, ranking #113 overall.
In the 2 individual benchmarks reported for both models, Qwen3.5-35B-A3B wins 2; 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 MedGemma 4B IT
- you are already invested in the Google ecosystem
Choose Qwen3.5-35B-A3B
- overall performance matters — it scores 31.0 and ranks #113 on LLM Stats
- your work emphasizes reasoning — it leads those capability indexes
- you value its reported benchmark strengths — it wins 2 of 2 exact shared results
- you want the most recent training data — it shipped Feb 2026
At a glance
The differences that matter most.
Capability indexes
Additional strengths measured across groups of related public benchmarks
Individual benchmarks
7 reported for MedGemma 4B IT · 81 for Qwen3.5-35B-A3B
MedGemma 4B IT outperforms in 0 benchmarks, while Qwen3.5-35B-A3B is better at 2 benchmarks (MedXpertQA, SlakeVQA).
Qwen3.5-35B-A3B significantly outperforms across most benchmarks.
Human preference
Blind head-to-head votes and playground preference scores
Model Size
Parameter count comparison
Qwen3.5-35B-A3B has 30.7B more parameters than MedGemma 4B IT, making it 714.0% larger.
Context Window
Maximum input and output token capacity
Only Qwen3.5-35B-A3B specifies input context (262,144 tokens). Only Qwen3.5-35B-A3B specifies output context (262,144 tokens).
Input capabilities
Documented input modalities across available providers
Both MedGemma 4B IT and Qwen3.5-35B-A3B support multimodal inputs.
They are both capable of processing various types of data, offering versatility in application.
MedGemma 4B IT
Qwen3.5-35B-A3B
License
Usage and distribution terms
MedGemma 4B IT is licensed under Health AI Developer Foundations terms of use, while Qwen3.5-35B-A3B uses Apache 2.0.
License differences may affect how you can use these models in commercial or open-source projects.
Health AI Developer Foundations terms of use
Open weights
Apache 2.0
Open weights
Release Timeline
When each model was launched
MedGemma 4B IT was released on 2025-05-20, while Qwen3.5-35B-A3B was released on 2026-02-24.
Qwen3.5-35B-A3B is 9 months newer than MedGemma 4B IT.
May 20, 2025
1.3 years ago
Feb 24, 2026
6 months ago
9mo newerKnowledge Cutoff
When training data ends
Neither model specifies a knowledge cutoff date.
Unable to compare the recency of their training data.
Outputs Comparison
Judge for yourself.
Run your own prompts against MedGemma 4B IT and Qwen3.5-35B-A3B side-by-side, then vote on the output you prefer.
FAQ
Common questions about MedGemma 4B IT vs Qwen3.5-35B-A3B.