MLX Community · First MLX build 13 Jan 2026

medgemma-1.5-4b-it

MLX TextVision health-ai-developer-foundations

A 5B parameter vision and text model, with 4 MLX builds, from 4-bit to bf16.

Hugging Face
Parameters
5B
From Hugging Face
Quantisation
bf16
medgemma-1.5-4b-it-bf16
Memory needed
14 GB
Estimate, unified memory
Download
9.9 GB
Weights, estimated
Downloads
843
This build, last 30 days
Task
Vision and text
Text, Vision
MLX builds
4
On mlx-community
Devices
Mac
Apple silicon

Memory

Estimated from the size of the weights, plus a fifth for context and working memory and 2 GB for macOS and your apps. Long contexts need more.

Run it

Terminal · mlx-vlm
$ pip install -U mlx-vlm
$ python -m mlx_vlm.generate --model mlx-community/medgemma-1.5-4b-it-bf16 --image photo.jpg --prompt "Describe this image"

MLX builds

4 on mlx-community
Click a column to sort. Smallest size and most downloads are highlighted.
medgemma-1.5-4b-it-4bit 4-bit 3.4 GB 6 GB 773
medgemma-1.5-4b-it-6bit 6-bit 4.5 GB 8 GB 58
medgemma-1.5-4b-it-8bit 8-bit 5.7 GB 9 GB 182
medgemma-1.5-4b-it-bf16 bf16 9.9 GB 14 GB 843

Sizes are estimated from Hugging Face’s parameter counts and the quantisation. Downloads are for the last 30 days.