Daily Papers

Recent advancement in multimodal LLMs (MLLMs) has demonstrated their remarkable capability to generate descriptive captions for input videos. However, these models suffer from factual inaccuracies in the generated descriptions, causing severe hallucination issues. While prior works have explored alleviating hallucinations for static images, jointly mitigating visual object and temporal action hallucinations for dynamic videos remains a challenging and unsolved task. To tackle this challenge, we propose a Self-Augmented Contrastive Alignment (SANTA) framework for enabling object and action faithfulness by exempting the spurious correlations and enforcing the emphasis on visual facts. SANTA employs a hallucinative self-augmentation scheme to identify the potential hallucinations that lie in the MLLM and transform the original captions to the contrasted negatives. Furthermore, we develop a tracklet-phrase contrastive alignment to match the regional objects and relation-guided actions with their corresponding visual and temporal phrases. Extensive experiments demonstrate that SANTA outperforms existing methods in alleviating object and action hallucinations, yielding superior performance on the hallucination examination benchmarks.

We present DualFocus, a novel framework for integrating macro and micro perspectives within multi-modal large language models (MLLMs) to enhance vision-language task performance. Current MLLMs typically singularly focus on inputs at a predefined resolution, resulting in deficiencies in detailed questions involving local regions. We introduced a DualFocus mechanism where the model concentrates on the image from a macro perspective, responses to the question, and identifies suitable sub-regions to zoom in for subsequent micro perspective analysis. Via the integration of answers from both macro and micro perspectives, the model is adept at addressing tasks that encompass global, detailed, and combined considerations. To endows the DualFocus mechanism in MLLMs, we curated a tailored dataset derived from the Visual Genome (VG) and adapted it to align with the training regimen of DualFocus. Through comparative studies across different model sizes and benchmarks, we demonstrate DualFocus's superiority in balancing detailed examination with holistic insight, significantly reducing hallucination instances in MLLMs and improving their performance in various vision-language tasks.

Context-grounded hallucinations are cases where model outputs contain information not verifiable against the source text. We study the applicability of LLMs for localizing such hallucinations, as a more practical alternative to existing complex evaluation pipelines. In the absence of established benchmarks for meta-evaluation of hallucinations localization, we construct one tailored to LLMs, involving a challenging human annotation of over 1,000 examples. We complement the benchmark with an LLM-based evaluation protocol, verifying its quality in a human evaluation. Since existing representations of hallucinations limit the types of errors that can be expressed, we propose a new representation based on free-form textual descriptions, capturing the full range of possible errors. We conduct a comprehensive study, evaluating four large-scale LLMs, which highlights the benchmark's difficulty, as the best model achieves an F1 score of only 0.67. Through careful analysis, we offer insights into optimal prompting strategies for the task and identify the main factors that make it challenging for LLMs: (1) a tendency to incorrectly flag missing details as inconsistent, despite being instructed to check only facts in the output; and (2) difficulty with outputs containing factually correct information absent from the source - and thus not verifiable - due to alignment with the model's parametric knowledge.

Large vision-language models (LVLMs) hallucinate: certain context cues in an image may trigger the language module's overconfident and incorrect reasoning on abnormal or hypothetical objects. Though a few benchmarks have been developed to investigate LVLM hallucinations, they mainly rely on hand-crafted corner cases whose fail patterns may hardly generalize, and finetuning on them could undermine their validity. These motivate us to develop the first automatic benchmark generation approach, AUTOHALLUSION, that harnesses a few principal strategies to create diverse hallucination examples. It probes the language modules in LVLMs for context cues and uses them to synthesize images by: (1) adding objects abnormal to the context cues; (2) for two co-occurring objects, keeping one and excluding the other; or (3) removing objects closely tied to the context cues. It then generates image-based questions whose ground-truth answers contradict the language module's prior. A model has to overcome contextual biases and distractions to reach correct answers, while incorrect or inconsistent answers indicate hallucinations. AUTOHALLUSION enables us to create new benchmarks at the minimum cost and thus overcomes the fragility of hand-crafted benchmarks. It also reveals common failure patterns and reasons, providing key insights to detect, avoid, or control hallucinations. Comprehensive evaluations of top-tier LVLMs, e.g., GPT-4V(ision), Gemini Pro Vision, Claude 3, and LLaVA-1.5, show a 97.7% and 98.7% success rate of hallucination induction on synthetic and real-world datasets of AUTOHALLUSION, paving the way for a long battle against hallucinations.

Large language models (LLMs), after being aligned with vision models and integrated into vision-language models (VLMs), can bring impressive improvement in image reasoning tasks. This was shown by the recently released GPT-4V(ison), LLaVA-1.5, etc. However, the strong language prior in these SOTA LVLMs can be a double-edged sword: they may ignore the image context and solely rely on the (even contradictory) language prior for reasoning. In contrast, the vision modules in VLMs are weaker than LLMs and may result in misleading visual representations, which are then translated to confident mistakes by LLMs. To study these two types of VLM mistakes, i.e., language hallucination and visual illusion, we curated HallusionBench, an image-context reasoning benchmark that is still challenging to even GPT-4V and LLaVA-1.5. We provide a detailed analysis of examples in HallusionBench, which sheds novel insights on the illusion or hallucination of VLMs and how to improve them in the future. The benchmark and codebase will be released at https://github.com/tianyi-lab/HallusionBench.

Large language models (LLMs) often generate responses that deviate from user input or training data, a phenomenon known as "hallucination." These hallucinations undermine user trust and hinder the adoption of generative AI systems. Addressing hallucinations is essential for the advancement of LLMs. This paper introduces a comprehensive hallucination benchmark, incorporating both new extrinsic and existing intrinsic evaluation tasks, built upon clear taxonomy of hallucination. A major challenge in benchmarking hallucinations is the lack of a unified framework due to inconsistent definitions and categorizations. We disentangle LLM hallucination from "factuality," proposing a clear taxonomy that distinguishes between extrinsic and intrinsic hallucinations, to promote consistency and facilitate research. Extrinsic hallucinations, where the generated content is not consistent with the training data, are increasingly important as LLMs evolve. Our benchmark includes dynamic test set generation to mitigate data leakage and ensure robustness against such leakage. We also analyze existing benchmarks, highlighting their limitations and saturation. The work aims to: (1) establish a clear taxonomy of hallucinations, (2) introduce new extrinsic hallucination tasks, with data that can be dynamically regenerated to prevent saturation by leakage, (3) provide a comprehensive analysis of existing benchmarks, distinguishing them from factuality evaluations.

Large Language Models (LLMs) have significantly advanced the field of Natural Language Processing (NLP), achieving remarkable performance across diverse tasks and enabling widespread real-world applications. However, LLMs are prone to hallucination, generating content that either conflicts with established knowledge or is unfaithful to the original sources. Existing hallucination benchmarks primarily focus on sentence- or passage-level hallucination detection, neglecting dialogue-level evaluation, hallucination localization, and rationale provision. They also predominantly target factuality hallucinations while underestimating faithfulness hallucinations, often relying on labor-intensive or non-specialized evaluators. To address these limitations, we propose HalluDial, the first comprehensive large-scale benchmark for automatic dialogue-level hallucination evaluation. HalluDial encompasses both spontaneous and induced hallucination scenarios, covering factuality and faithfulness hallucinations. The benchmark includes 4,094 dialogues with a total of 146,856 samples. Leveraging HalluDial, we conduct a comprehensive meta-evaluation of LLMs' hallucination evaluation capabilities in information-seeking dialogues and introduce a specialized judge language model, HalluJudge. The high data quality of HalluDial enables HalluJudge to achieve superior or competitive performance in hallucination evaluation, facilitating the automatic assessment of dialogue-level hallucinations in LLMs and providing valuable insights into this phenomenon. The dataset and the code are available at https://github.com/FlagOpen/HalluDial.

Hallucinations in multimodal large language models (MLLMs) -- where the model generates content inconsistent with the input image -- pose significant risks in real-world applications, from misinformation in visual question answering to unsafe errors in decision-making. Existing benchmarks primarily test recognition accuracy, i.e., evaluating whether models can select the correct answer among distractors. This overlooks an equally critical capability for trustworthy AI: recognizing when none of the provided options are correct, a behavior reflecting epistemic humility. We present HumbleBench, a new hallucination benchmark designed to evaluate MLLMs' ability to reject plausible but incorrect answers across three hallucination types: object, relation, and attribute. Built from a panoptic scene graph dataset, we leverage fine-grained scene graph annotations to extract ground-truth entities and relations, and prompt GPT-4-Turbo to generate multiple-choice questions, followed by a rigorous manual filtering process. Each question includes a "None of the above" option, requiring models not only to recognize correct visual information but also to identify when no provided answer is valid. We evaluate a variety of state-of-the-art MLLMs -- including both general-purpose and specialized reasoning models -- on HumbleBench and share valuable findings and insights with the community. By incorporating explicit false-option rejection, HumbleBench fills a key gap in current evaluation suites, providing a more realistic measure of MLLM reliability in safety-critical settings. Our code and dataset are released publicly and can be accessed at https://github.com/maifoundations/HumbleBench.

Multimodal foundation models are prone to hallucination, generating outputs that either contradict the input or are not grounded by factual information. Given the diversity in architectures, training data and instruction tuning techniques, there can be large variations in systems' susceptibility to hallucinations. To assess system hallucination robustness, hallucination ranking approaches have been developed for specific tasks such as image captioning, question answering, summarization, or biography generation. However, these approaches typically compare model outputs to gold-standard references or labels, limiting hallucination benchmarking for new domains. This work proposes "CrossCheckGPT", a reference-free universal hallucination ranking for multimodal foundation models. The core idea of CrossCheckGPT is that the same hallucinated content is unlikely to be generated by different independent systems, hence cross-system consistency can provide meaningful and accurate hallucination assessment scores. CrossCheckGPT can be applied to any model or task, provided that the information consistency between outputs can be measured through an appropriate distance metric. Focusing on multimodal large language models that generate text, we explore two information consistency measures: CrossCheck-explicit and CrossCheck-implicit. We showcase the applicability of our method for hallucination ranking across various modalities, namely the text, image, and audio-visual domains. Further, we propose the first audio-visual hallucination benchmark, "AVHalluBench", and illustrate the effectiveness of CrossCheckGPT, achieving correlations of 98% and 89% with human judgements on MHaluBench and AVHalluBench, respectively.

Hallucination, or the generation of incorrect or fabricated information, remains a critical challenge in large language models (LLMs), particularly in high-stake domains such as legal question answering (QA). In order to mitigate the hallucination rate in legal QA, we first introduce a benchmark called LegalHalBench and three automatic metrics to evaluate the common hallucinations when LLMs answer legal questions. We then propose a hallucination mitigation method that integrates behavior cloning and a novel Hard Sample-aware Iterative Direct Preference Optimization (HIPO). We conduct extensive real-data experiments to validate the effectiveness of our approach. Our results demonstrate remarkable improvements in various metrics, including the newly proposed Non-Hallucinated Statute Rate, Statute Relevance Rate, Legal Claim Truthfulness, as well as traditional metrics such as METEOR, BERTScore, ROUGE-L, and win rates.

Faithfulness hallucinations are claims generated by a Large Language Model (LLM) not supported by contexts provided to the LLM. Lacking assessment standards, existing benchmarks focus on "factual statements" that rephrase source materials while overlooking "cognitive statements" that involve making inferences from the given context. Consequently, evaluating and detecting the hallucination of cognitive statements remains challenging. Inspired by how evidence is assessed in the legal domain, we design a rigorous framework to assess different levels of faithfulness of cognitive statements and introduce the CogniBench dataset where we reveal insightful statistics. To keep pace with rapidly evolving LLMs, we further develop an automatic annotation pipeline that scales easily across different models. This results in a large-scale CogniBench-L dataset, which facilitates training accurate detectors for both factual and cognitive hallucinations. We release our model and datasets at: https://github.com/FUTUREEEEEE/CogniBench

Hallucination is a persistent issue affecting all large language Models (LLMs), particularly within low-resource languages such as Persian. PerHalluEval (Persian Hallucination Evaluation) is the first dynamic hallucination evaluation benchmark tailored for the Persian language. Our benchmark leverages a three-stage LLM-driven pipeline, augmented with human validation, to generate plausible answers and summaries regarding QA and summarization tasks, focusing on detecting extrinsic and intrinsic hallucinations. Moreover, we used the log probabilities of generated tokens to select the most believable hallucinated instances. In addition, we engaged human annotators to highlight Persian-specific contexts in the QA dataset in order to evaluate LLMs' performance on content specifically related to Persian culture. Our evaluation of 12 LLMs, including open- and closed-source models using PerHalluEval, revealed that the models generally struggle in detecting hallucinated Persian text. We showed that providing external knowledge, i.e., the original document for the summarization task, could mitigate hallucination partially. Furthermore, there was no significant difference in terms of hallucination when comparing LLMs specifically trained for Persian with others.

Hallucinations pose a significant challenge to the reliability and alignment of Large Language Models (LLMs), limiting their widespread acceptance beyond chatbot applications. Despite ongoing efforts, hallucinations remain a prevalent challenge in LLMs. The detection of hallucinations itself is also a formidable task, frequently requiring manual labeling or constrained evaluations. This paper introduces an automated scalable framework that combines benchmarking LLMs' hallucination tendencies with efficient hallucination detection. We leverage LLMs to generate challenging tasks related to hypothetical phenomena, subsequently employing them as agents for efficient hallucination detection. The framework is domain-agnostic, allowing the use of any language model for benchmark creation or evaluation in any domain. We introduce the publicly available HypoTermQA Benchmarking Dataset, on which state-of-the-art models' performance ranged between 3% and 11%, and evaluator agents demonstrated a 6% error rate in hallucination prediction. The proposed framework provides opportunities to test and improve LLMs. Additionally, it has the potential to generate benchmarking datasets tailored to specific domains, such as law, health, and finance.

Recent progress in vision-language segmentation has significantly advanced grounded visual understanding. However, these models often exhibit hallucinations by producing segmentation masks for objects not grounded in the image content or by incorrectly labeling irrelevant regions. Existing evaluation protocols for segmentation hallucination primarily focus on label or textual hallucinations without manipulating the visual context, limiting their capacity to diagnose critical failures. In response, we introduce HalluSegBench, the first benchmark specifically designed to evaluate hallucinations in visual grounding through the lens of counterfactual visual reasoning. Our benchmark consists of a novel dataset of 1340 counterfactual instance pairs spanning 281 unique object classes, and a set of newly introduced metrics that quantify hallucination sensitivity under visually coherent scene edits. Experiments on HalluSegBench with state-of-the-art vision-language segmentation models reveal that vision-driven hallucinations are significantly more prevalent than label-driven ones, with models often persisting in false segmentation, highlighting the need for counterfactual reasoning to diagnose grounding fidelity.

Large Language Models (LLMs) have transformed the Natural Language Processing (NLP) landscape with their remarkable ability to understand and generate human-like text. However, these models are prone to ``hallucinations'' -- outputs that do not align with factual reality or the input context. This paper introduces the Hallucinations Leaderboard, an open initiative to quantitatively measure and compare the tendency of each model to produce hallucinations. The leaderboard uses a comprehensive set of benchmarks focusing on different aspects of hallucinations, such as factuality and faithfulness, across various tasks, including question-answering, summarisation, and reading comprehension. Our analysis provides insights into the performance of different models, guiding researchers and practitioners in choosing the most reliable models for their applications.

This research paper focuses on the challenges posed by hallucinations in large language models (LLMs), particularly in the context of the medical domain. Hallucination, wherein these models generate plausible yet unverified or incorrect information, can have serious consequences in healthcare applications. We propose a new benchmark and dataset, Med-HALT (Medical Domain Hallucination Test), designed specifically to evaluate and reduce hallucinations. Med-HALT provides a diverse multinational dataset derived from medical examinations across various countries and includes multiple innovative testing modalities. Med-HALT includes two categories of tests reasoning and memory-based hallucination tests, designed to assess LLMs's problem-solving and information retrieval abilities. Our study evaluated leading LLMs, including Text Davinci, GPT-3.5, LlaMa-2, MPT, and Falcon, revealing significant differences in their performance. The paper provides detailed insights into the dataset, promoting transparency and reproducibility. Through this work, we aim to contribute to the development of safer and more reliable language models in healthcare. Our benchmark can be found at medhalt.github.io

Multimodal hallucination in multimodal large language models (MLLMs) restricts the correctness of MLLMs. However, multimodal hallucinations are multi-sourced and arise from diverse causes. Existing benchmarks fail to adequately distinguish between perception-induced hallucinations and reasoning-induced hallucinations. This failure constitutes a significant issue and hinders the diagnosis of multimodal reasoning failures within MLLMs. To address this, we propose the {\dataset} benchmark, which isolates reasoning hallucinations by constructing questions where input images are correctly perceived by MLLMs yet reasoning errors persist. {\dataset} introduces multi-granular evaluation metrics: accuracy, factuality, and LLMs hallucination score for hallucination quantification. Our analysis reveals that (1) the model scale, data scale, and training stages significantly affect the degree of logical, fabrication, and factual hallucinations; (2) current MLLMs show no effective improvement on spatial hallucinations caused by misinterpreted spatial relationships, indicating their limited visual reasoning capabilities; and (3) question types correlate with distinct hallucination patterns, highlighting targeted challenges and potential mitigation strategies. To address these challenges, we propose {\method}, a method that combines curriculum reinforcement fine-tuning to encourage models to generate logic-consistent reasoning chains by stepwise reducing learning difficulty, and collaborative hint inference to reduce reasoning complexity. {\method} establishes a baseline on {\dataset}, and reduces the logical hallucinations in original base models.

Following the success of Large Language Models (LLMs), expanding their boundaries to new modalities represents a significant paradigm shift in multimodal understanding. Human perception is inherently multimodal, relying not only on text but also on auditory and visual cues for a complete understanding of the world. In recognition of this fact, audio-visual LLMs have recently emerged. Despite promising developments, the lack of dedicated benchmarks poses challenges for understanding and evaluating models. In this work, we show that audio-visual LLMs struggle to discern subtle relationships between audio and visual signals, leading to hallucinations, underscoring the need for reliable benchmarks. To address this, we introduce AVHBench, the first comprehensive benchmark specifically designed to evaluate the perception and comprehension capabilities of audio-visual LLMs. Our benchmark includes tests for assessing hallucinations, as well as the cross-modal matching and reasoning abilities of these models. Our results reveal that most existing audio-visual LLMs struggle with hallucinations caused by cross-interactions between modalities, due to their limited capacity to perceive complex multimodal signals and their relationships. Additionally, we demonstrate that simple training with our AVHBench improves robustness of audio-visual LLMs against hallucinations.

Large Vision-Language Models (LVLMs) have demonstrated remarkable performance in performing complex multimodal tasks. However, they are still plagued by object hallucination: the misidentification or misclassification of objects present in images. To this end, we propose HALLUCINOGEN, a novel visual question answering (VQA) object hallucination attack benchmark that utilizes diverse contextual reasoning prompts to evaluate object hallucination in state-of-the-art LVLMs. We design a series of contextual reasoning hallucination prompts to evaluate LVLMs' ability to accurately identify objects in a target image while asking them to perform diverse visual-language tasks such as identifying, locating or performing visual reasoning around specific objects. Further, we extend our benchmark to high-stakes medical applications and introduce MED-HALLUCINOGEN, hallucination attacks tailored to the biomedical domain, and evaluate the hallucination performance of LVLMs on medical images, a critical area where precision is crucial. Finally, we conduct extensive evaluations of eight LVLMs and two hallucination mitigation strategies across multiple datasets to show that current generic and medical LVLMs remain susceptible to hallucination attacks.

As large language models (LLMs) are increasingly deployed in high-stakes domains, detecting hallucinated contentx2013text that is not grounded in supporting evidencex2013has become a critical challenge. Existing benchmarks for hallucination detection are often synthetically generated, narrowly focused on extractive question answering, and fail to capture the complexity of real-world scenarios involving multi-document contexts and full-sentence outputs. We introduce the HalluMix Benchmark, a diverse, task-agnostic dataset that includes examples from a range of domains and formats. Using this benchmark, we evaluate seven hallucination detection systemsx2013both open and closed sourcex2013highlighting differences in performance across tasks, document lengths, and input representations. Our analysis highlights substantial performance disparities between short and long contexts, with critical implications for real-world Retrieval Augmented Generation (RAG) implementations. Quotient Detections achieves the best overall performance, with an accuracy of 0.82 and an F1 score of 0.84.

Large Language Models (LLMs) have demonstrated remarkable capabilities, revolutionizing the integration of AI in daily life applications. However, they are prone to hallucinations, generating claims that contradict established facts, deviating from prompts, and producing inconsistent responses when the same prompt is presented multiple times. Addressing these issues is challenging due to the lack of comprehensive and easily assessable benchmark datasets. Most existing datasets are small and rely on multiple-choice questions, which are inadequate for evaluating the generative prowess of LLMs. To measure hallucination in LLMs, this paper introduces a comprehensive benchmark dataset comprising over 75,000 prompts across eight domains. These prompts are designed to elicit definitive, concise, and informative answers. The dataset is divided into two segments: one publicly available for testing and assessing LLM performance and a hidden segment for benchmarking various LLMs. In our experiments, we tested six LLMs-GPT-3.5, LLama 2, LLama 3, Gemini, Mixtral, and Zephyr-revealing that overall factual hallucination ranges from 59% to 82% on the public dataset and 57% to 76% in the hidden benchmark. Prompt misalignment hallucination ranges from 6% to 95% in the public dataset and 17% to 94% in the hidden counterpart. Average consistency ranges from 21% to 61% and 22% to 63%, respectively. Domain-wise analysis shows that LLM performance significantly deteriorates when asked for specific numeric information while performing moderately with person, location, and date queries. Our dataset demonstrates its efficacy and serves as a comprehensive benchmark for LLM performance evaluation. Our dataset and LLMs responses are available at https://github.com/ashikiut/DefAn{https://github.com/ashikiut/DefAn}.

We propose a novel multimodal video benchmark - the Perception Test - to evaluate the perception and reasoning skills of pre-trained multimodal models (e.g. Flamingo, BEiT-3, or GPT-4). Compared to existing benchmarks that focus on computational tasks (e.g. classification, detection or tracking), the Perception Test focuses on skills (Memory, Abstraction, Physics, Semantics) and types of reasoning (descriptive, explanatory, predictive, counterfactual) across video, audio, and text modalities, to provide a comprehensive and efficient evaluation tool. The benchmark probes pre-trained models for their transfer capabilities, in a zero-shot / few-shot or limited finetuning regime. For these purposes, the Perception Test introduces 11.6k real-world videos, 23s average length, designed to show perceptually interesting situations, filmed by around 100 participants worldwide. The videos are densely annotated with six types of labels (multiple-choice and grounded video question-answers, object and point tracks, temporal action and sound segments), enabling both language and non-language evaluations. The fine-tuning and validation splits of the benchmark are publicly available (CC-BY license), in addition to a challenge server with a held-out test split. Human baseline results compared to state-of-the-art video QA models show a significant gap in performance (91.4% vs 43.6%), suggesting that there is significant room for improvement in multimodal video understanding. Dataset, baselines code, and challenge server are available at https://github.com/deepmind/perception_test

The hallucination of large multimodal models (LMMs), providing responses that appear correct but are actually incorrect, limits their reliability and applicability. This paper aims to study the hallucination problem of LMMs in video modality, which is dynamic and more challenging compared to static modalities like images and text. From this motivation, we first present a comprehensive benchmark termed HAVEN for evaluating hallucinations of LMMs in video understanding tasks. It is built upon three dimensions, i.e., hallucination causes, hallucination aspects, and question formats, resulting in 6K questions. Then, we quantitatively study 7 influential factors on hallucinations, e.g., duration time of videos, model sizes, and model reasoning, via experiments of 16 LMMs on the presented benchmark. In addition, inspired by recent thinking models like OpenAI o1, we propose a video-thinking model to mitigate the hallucinations of LMMs via supervised reasoning fine-tuning (SRFT) and direct preference optimization (TDPO)-- where SRFT enhances reasoning capabilities while TDPO reduces hallucinations in the thinking process. Extensive experiments and analyses demonstrate the effectiveness. Remarkably, it improves the baseline by 7.65% in accuracy on hallucination evaluation and reduces the bias score by 4.5%. The code and data are public at https://github.com/Hongcheng-Gao/HAVEN.

Tool-augmented large language models (LLMs) are rapidly being integrated into real-world applications. Due to the lack of benchmarks, the community still needs to fully understand the hallucination issues within these models. To address this challenge, we introduce a comprehensive diagnostic benchmark, ToolBH. Specifically, we assess the LLM's hallucinations through two perspectives: depth and breadth. In terms of depth, we propose a multi-level diagnostic process, including (1) solvability detection, (2) solution planning, and (3) missing-tool analysis. For breadth, we consider three scenarios based on the characteristics of the toolset: missing necessary tools, potential tools, and limited functionality tools. Furthermore, we developed seven tasks and collected 700 evaluation samples through multiple rounds of manual annotation. The results show the significant challenges presented by the ToolBH benchmark. The current advanced models Gemini-1.5-Pro and GPT-4o only achieve a total score of 45.3 and 37.0, respectively, on a scale of 100. In this benchmark, larger model parameters do not guarantee better performance; the training data and response strategies also play a crucial role in tool-enhanced LLM scenarios. Our diagnostic analysis indicates that the primary reason for model errors lies in assessing task solvability. Additionally, open-weight models suffer from performance drops with verbose replies, whereas proprietary models excel with longer reasoning.

Hallucinations are a persistent problem with Large Language Models (LLMs). As these models become increasingly used in high-stakes domains, such as healthcare and finance, the need for effective hallucination detection is crucial. To this end, we propose a versatile framework for zero-resource hallucination detection that practitioners can apply to real-world use cases. To achieve this, we adapt a variety of existing uncertainty quantification (UQ) techniques, including black-box UQ, white-box UQ, and LLM-as-a-Judge, transforming them as necessary into standardized response-level confidence scores ranging from 0 to 1. To enhance flexibility, we introduce a tunable ensemble approach that incorporates any combination of the individual confidence scores. This approach enables practitioners to optimize the ensemble for a specific use case for improved performance. To streamline implementation, the full suite of scorers is offered in this paper's companion Python toolkit, UQLM. To evaluate the performance of the various scorers, we conduct an extensive set of experiments using several LLM question-answering benchmarks. We find that our tunable ensemble typically surpasses its individual components and outperforms existing hallucination detection methods. Our results demonstrate the benefits of customized hallucination detection strategies for improving the accuracy and reliability of LLMs.

Test-time compute has empowered multimodal large language models to generate extended reasoning chains, yielding strong performance on tasks such as multimodal math reasoning. However, this improved reasoning ability often comes with increased hallucination: as generations become longer, models tend to drift away from image-grounded content and rely more heavily on language priors. Attention analysis shows that longer reasoning chains lead to reduced focus on visual inputs, which contributes to hallucination. To systematically study this phenomenon, we introduce RH-AUC, a metric that quantifies how a model's perception accuracy changes with reasoning length, allowing us to evaluate whether the model preserves visual grounding during reasoning. We also release RH-Bench, a diagnostic benchmark that spans a variety of multimodal tasks, designed to assess the trade-off between reasoning ability and hallucination. Our analysis reveals that (i) larger models typically achieve a better balance between reasoning and perception, and (ii) this balance is influenced more by the types and domains of training data than by its overall volume. These findings underscore the importance of evaluation frameworks that jointly consider both reasoning quality and perceptual fidelity.

Despite significant strides in multimodal tasks, Multimodal Large Language Models (MLLMs) are plagued by the critical issue of hallucination. The reliable detection of such hallucinations in MLLMs has, therefore, become a vital aspect of model evaluation and the safeguarding of practical application deployment. Prior research in this domain has been constrained by a narrow focus on singular tasks, an inadequate range of hallucination categories addressed, and a lack of detailed granularity. In response to these challenges, our work expands the investigative horizons of hallucination detection. We present a novel meta-evaluation benchmark, MHaluBench, meticulously crafted to facilitate the evaluation of advancements in hallucination detection methods. Additionally, we unveil a novel unified multimodal hallucination detection framework, UNIHD, which leverages a suite of auxiliary tools to validate the occurrence of hallucinations robustly. We demonstrate the effectiveness of UNIHD through meticulous evaluation and comprehensive analysis. We also provide strategic insights on the application of specific tools for addressing various categories of hallucinations.

Response consistency-based, reference-free hallucination detection (RFHD) methods do not depend on internal model states, such as generation probabilities or gradients, which Grey-box models typically rely on but are inaccessible in closed-source LLMs. However, their inability to capture query-response alignment patterns often results in lower detection accuracy. Additionally, the lack of large-scale benchmark datasets spanning diverse domains remains a challenge, as most existing datasets are limited in size and scope. To this end, we propose HalluCounter, a novel reference-free hallucination detection method that utilizes both response-response and query-response consistency and alignment patterns. This enables the training of a classifier that detects hallucinations and provides a confidence score and an optimal response for user queries. Furthermore, we introduce HalluCounterEval, a benchmark dataset comprising both synthetically generated and human-curated samples across multiple domains. Our method outperforms state-of-the-art approaches by a significant margin, achieving over 90\% average confidence in hallucination detection across datasets.

Advancements in Large Language Models (LLMs) and their increasing use in medical question-answering necessitate rigorous evaluation of their reliability. A critical challenge lies in hallucination, where models generate plausible yet factually incorrect outputs. In the medical domain, this poses serious risks to patient safety and clinical decision-making. To address this, we introduce MedHallu, the first benchmark specifically designed for medical hallucination detection. MedHallu comprises 10,000 high-quality question-answer pairs derived from PubMedQA, with hallucinated answers systematically generated through a controlled pipeline. Our experiments show that state-of-the-art LLMs, including GPT-4o, Llama-3.1, and the medically fine-tuned UltraMedical, struggle with this binary hallucination detection task, with the best model achieving an F1 score as low as 0.625 for detecting "hard" category hallucinations. Using bidirectional entailment clustering, we show that harder-to-detect hallucinations are semantically closer to ground truth. Through experiments, we also show incorporating domain-specific knowledge and introducing a "not sure" category as one of the answer categories improves the precision and F1 scores by up to 38% relative to baselines.

With the rapid development of MLLMs, evaluating their visual capabilities has become increasingly crucial. Current benchmarks primarily fall into two main types: basic perception benchmarks, which focus on local details but lack deep reasoning (e.g., "what is in the image?"), and mainstream reasoning benchmarks, which concentrate on prominent image elements but may fail to assess subtle clues requiring intricate analysis. However, profound visual understanding and complex reasoning depend more on interpreting subtle, inconspicuous local details than on perceiving salient, macro-level objects. These details, though occupying minimal image area, often contain richer, more critical information for robust analysis. To bridge this gap, we introduce the VER-Bench, a novel framework to evaluate MLLMs' ability to: 1) identify fine-grained visual clues, often occupying on average just 0.25% of the image area; 2) integrate these clues with world knowledge for complex reasoning. Comprising 374 carefully designed questions across Geospatial, Temporal, Situational, Intent, System State, and Symbolic reasoning, each question in VER-Bench is accompanied by structured evidence: visual clues and question-related reasoning derived from them. VER-Bench reveals current models' limitations in extracting subtle visual evidence and constructing evidence-based arguments, highlighting the need to enhance models's capabilities in fine-grained visual evidence extraction, integration, and reasoning for genuine visual understanding and human-like analysis. Dataset and additional materials are available https://github.com/verbta/ACMMM-25-Materials.

Large language models (LLMs) have emerged as pivotal contributors in contemporary natural language processing and are increasingly being applied across a diverse range of industries. However, these large-scale probabilistic statistical models cannot currently ensure the requisite quality in professional content generation. These models often produce hallucinated text, compromising their practical utility in professional contexts. To assess the authentic reliability of LLMs in text generation, numerous initiatives have developed benchmark evaluations for hallucination phenomena. Nevertheless, these benchmarks frequently utilize constrained generation techniques due to cost and temporal constraints. These techniques encompass the use of directed hallucination induction and strategies that deliberately alter authentic text to produce hallucinations. These approaches are not congruent with the unrestricted text generation demanded by real-world applications. Furthermore, a well-established Chinese-language dataset dedicated to the evaluation of hallucinations in text generation is presently lacking. Consequently, we have developed an Unconstrained Hallucination Generation Evaluation (UHGEval) benchmark, designed to compile outputs produced with minimal restrictions by LLMs. Concurrently, we have established a comprehensive benchmark evaluation framework to aid subsequent researchers in undertaking scalable and reproducible experiments. We have also executed extensive experiments, evaluating prominent Chinese language models and the GPT series models to derive professional performance insights regarding hallucination challenges.

Hallucination detection remains a fundamental challenge for the safe and reliable deployment of large language models (LLMs), especially in applications requiring factual accuracy. Existing hallucination benchmarks often operate at the sequence level and are limited to English, lacking the fine-grained, multilingual supervision needed for a comprehensive evaluation. In this work, we introduce PsiloQA, a large-scale, multilingual dataset annotated with span-level hallucinations across 14 languages. PsiloQA is constructed through an automated three-stage pipeline: generating question-answer pairs from Wikipedia using GPT-4o, eliciting potentially hallucinated answers from diverse LLMs in a no-context setting, and automatically annotating hallucinated spans using GPT-4o by comparing against golden answers and retrieved context. We evaluate a wide range of hallucination detection methods -- including uncertainty quantification, LLM-based tagging, and fine-tuned encoder models -- and show that encoder-based models achieve the strongest performance across languages. Furthermore, PsiloQA demonstrates effective cross-lingual generalization and supports robust knowledge transfer to other benchmarks, all while being significantly more cost-efficient than human-annotated datasets. Our dataset and results advance the development of scalable, fine-grained hallucination detection in multilingual settings.

Hallucination has been a major problem for large language models and remains a critical challenge when it comes to multimodality in which vision-language models (VLMs) have to deal with not just textual but also visual inputs. Despite rapid progress in VLMs, resources for evaluating and addressing multimodal hallucination are limited and mostly focused on evaluation. This work introduces HaloQuest, a novel visual question answering dataset that captures various aspects of multimodal hallucination such as false premises, insufficient contexts, and visual challenges. A novel idea from HaloQuest is to leverage synthetic images, apart from real ones, to enable dataset creation at scale. With over 7.7K examples spanning across a wide variety of categories, HaloQuest was designed to be both a challenging benchmark for VLMs and a fine-tuning dataset for advancing multimodal reasoning. Our experiments reveal that current models struggle with HaloQuest, with all open-source VLMs achieving below 36% accuracy. On the other hand, fine-tuning on HaloQuest significantly reduces hallucination rates while preserving performance on standard reasoning tasks. Our results discover that benchmarking with generated images is highly correlated (r=0.97) with real images. Last but not least, we propose a novel Auto-Eval mechanism that is highly correlated with human raters (r=0.99) for evaluating VLMs. In sum, this work makes concrete strides towards understanding, evaluating, and mitigating hallucination in VLMs, serving as an important step towards more reliable multimodal AI systems in the future.

Memory systems are key components that enable AI systems such as LLMs and AI agents to achieve long-term learning and sustained interaction. However, during memory storage and retrieval, these systems frequently exhibit memory hallucinations, including fabrication, errors, conflicts, and omissions. Existing evaluations of memory hallucinations are primarily end-to-end question answering, which makes it difficult to localize the operational stage within the memory system where hallucinations arise. To address this, we introduce the Hallucination in Memory Benchmark (HaluMem), the first operation level hallucination evaluation benchmark tailored to memory systems. HaluMem defines three evaluation tasks (memory extraction, memory updating, and memory question answering) to comprehensively reveal hallucination behaviors across different operational stages of interaction. To support evaluation, we construct user-centric, multi-turn human-AI interaction datasets, HaluMem-Medium and HaluMem-Long. Both include about 15k memory points and 3.5k multi-type questions. The average dialogue length per user reaches 1.5k and 2.6k turns, with context lengths exceeding 1M tokens, enabling evaluation of hallucinations across different context scales and task complexities. Empirical studies based on HaluMem show that existing memory systems tend to generate and accumulate hallucinations during the extraction and updating stages, which subsequently propagate errors to the question answering stage. Future research should focus on developing interpretable and constrained memory operation mechanisms that systematically suppress hallucinations and improve memory reliability.

We introduce DAHL, a benchmark dataset and automated evaluation system designed to assess hallucination in long-form text generation, specifically within the biomedical domain. Our benchmark dataset, meticulously curated from biomedical research papers, consists of 8,573 questions across 29 categories. DAHL evaluates fact-conflicting hallucinations in Large Language Models (LLMs) by deconstructing responses into atomic units, each representing a single piece of information. The accuracy of these responses is averaged to produce the DAHL Score, offering a more in-depth evaluation of hallucinations compared to previous methods that rely on multiple-choice tasks. We conduct experiments with 8 different models, finding that larger models tend to hallucinate less; however, beyond a model size of 7 to 8 billion parameters, further scaling does not significantly improve factual accuracy. The DAHL Score holds potential as an efficient alternative to human-annotated preference labels, being able to be expanded to other specialized domains. We release the dataset and code in public.

Large Language Models (LLMs) have inherent limitations of faithfulness and factuality, commonly referred to as hallucinations. Several benchmarks have been developed that provide a test bed for factuality evaluation within the context of English-centric datasets, while relying on supplementary informative context like web links or text passages but ignoring the available structured factual resources. To this end, Knowledge Graphs (KGs) have been identified as a useful aid for hallucination mitigation, as they provide a structured way to represent the facts about entities and their relations with minimal linguistic overhead. We bridge the lack of KG paths and multilinguality for factual language modeling within the existing hallucination evaluation benchmarks and propose a KG-based multilingual, multihop benchmark called MultiHal framed for generative text evaluation. As part of our data collection pipeline, we mined 140k KG-paths from open-domain KGs, from which we pruned noisy KG-paths, curating a high-quality subset of 25.9k. Our baseline evaluation shows an absolute scale increase by approximately 0.12 to 0.36 points for the semantic similarity score in KG-RAG over vanilla QA across multiple languages and multiple models, demonstrating the potential of KG integration. We anticipate MultiHal will foster future research towards several graph-based hallucination mitigation and fact-checking tasks.

Large Multimodal Models (LMMs) have achieved impressive progress in visual perception and reasoning. However, when confronted with visually ambiguous or non-semantic scene text, they often struggle to accurately spot and understand the content, frequently generating semantically plausible yet visually incorrect answers, which we refer to as semantic hallucination. In this work, we investigate the underlying causes of semantic hallucination and identify a key finding: Transformer layers in LLM with stronger attention focus on scene text regions are less prone to producing semantic hallucinations. Thus, we propose a training-free semantic hallucination mitigation framework comprising two key components: (1) ZoomText, a coarse-to-fine strategy that identifies potential text regions without external detectors; and (2) Grounded Layer Correction, which adaptively leverages the internal representations from layers less prone to hallucination to guide decoding, correcting hallucinated outputs for non-semantic samples while preserving the semantics of meaningful ones. To enable rigorous evaluation, we introduce TextHalu-Bench, a benchmark of over 1,730 samples spanning both semantic and non-semantic cases, with manually curated question-answer pairs designed to probe model hallucinations. Extensive experiments demonstrate that our method not only effectively mitigates semantic hallucination but also achieves strong performance on public benchmarks for scene text spotting and understanding.

Investigating hallucination issues in large language models (LLMs) within cross-lingual and cross-modal scenarios can greatly advance the large-scale deployment in real-world applications. Nevertheless, the current studies are limited to a single scenario, either cross-lingual or cross-modal, leaving a gap in the exploration of hallucinations in the joint cross-lingual and cross-modal scenarios. Motivated by this, we introduce a novel joint Cross-lingual and Cross-modal Hallucinations benchmark (CCHall) to fill this gap. Specifically, CCHall simultaneously incorporates both cross-lingual and cross-modal hallucination scenarios, which can be used to assess the cross-lingual and cross-modal capabilities of LLMs. Furthermore, we conduct a comprehensive evaluation on CCHall, exploring both mainstream open-source and closed-source LLMs. The experimental results highlight that current LLMs still struggle with CCHall. We hope CCHall can serve as a valuable resource to assess LLMs in joint cross-lingual and cross-modal scenarios.

Multimodal language models possess a remarkable ability to handle an open-vocabulary's worth of objects. Yet the best models still suffer from hallucinations when reasoning about scenes in the real world, revealing a gap between their seemingly strong performance on existing perception benchmarks that are saturating and their reasoning in the real world. To address this gap, we build a novel benchmark of in-the-wild scenes that we call Common-O. With more than 10.5k examples using exclusively new images not found in web training data to avoid contamination, Common-O goes beyond just perception, inspired by cognitive tests for humans, to probe reasoning across scenes by asking "what's in common?". We evaluate leading multimodal language models, including models specifically trained to perform chain-of-thought reasoning. We find that perceiving objects in single images is tractable for most models, yet reasoning across scenes is very challenging even for the best models, including reasoning models. Despite saturating many leaderboards focusing on perception, the best performing model only achieves 35% on Common-O -- and on Common-O Complex, consisting of more complex scenes, the best model achieves only 1%. Curiously, we find models are more prone to hallucinate when similar objects are present in the scene, suggesting models may be relying on object co-occurrence seen during training. Among the models we evaluated, we found scale can provide modest improvements while models explicitly trained with multi-image inputs show bigger improvements, suggesting scaled multi-image training may offer promise. We make our benchmark publicly available to spur research into the challenge of hallucination when reasoning across scenes.

Large language models (LLMs) have experienced notable advancements in generating coherent and contextually relevant responses. However, hallucinations - incorrect or unfounded claims - are still prevalent, prompting the creation of automated metrics to detect these in LLM outputs. Our contributions include: introducing ChainPoll, an innovative hallucination detection method that excels compared to its counterparts, and unveiling RealHall, a refined collection of benchmark datasets to assess hallucination detection metrics from recent studies. While creating RealHall, we assessed tasks and datasets from previous hallucination detection studies and observed that many are not suitable for the potent LLMs currently in use. Overcoming this, we opted for four datasets challenging for modern LLMs and pertinent to real-world scenarios. Using RealHall, we conducted a comprehensive comparison of ChainPoll with numerous hallucination metrics from recent studies. Our findings indicate that ChainPoll outperforms in all RealHall benchmarks, achieving an overall AUROC of 0.781. This surpasses the next best theoretical method by 11% and exceeds industry standards by over 23%. Additionally, ChainPoll is cost-effective and offers greater transparency than other metrics. We introduce two novel metrics to assess LLM hallucinations: Adherence and Correctness. Adherence is relevant to Retrieval Augmented Generation workflows, evaluating an LLM's analytical capabilities within given documents and contexts. In contrast, Correctness identifies logical and reasoning errors.

Hallucination is a common problem for Large Vision-Language Models (LVLMs) with long generations which is difficult to eradicate. The generation with hallucinations is partially inconsistent with the image content. To mitigate hallucination, current studies either focus on the process of model inference or the results of model generation, but the solutions they design sometimes do not deal appropriately with various types of queries and the hallucinations of the generations about these queries. To accurately deal with various hallucinations, we present a unified framework, Dentist, for hallucination mitigation. The core step is to first classify the queries, then perform different processes of hallucination mitigation based on the classification result, just like a dentist first observes the teeth and then makes a plan. In a simple deployment, Dentist can classify queries as perception or reasoning and easily mitigate potential hallucinations in answers which has been demonstrated in our experiments. On MMbench, we achieve a 13.44%/10.2%/15.8% improvement in accuracy on Image Quality, a Coarse Perception visual question answering (VQA) task, over the baseline InstructBLIP/LLaVA/VisualGLM.

Large language models (LLMs), such as ChatGPT, are prone to generate hallucinations, i.e., content that conflicts with the source or cannot be verified by the factual knowledge. To understand what types of content and to which extent LLMs are apt to hallucinate, we introduce the Hallucination Evaluation benchmark for Large Language Models (HaluEval), a large collection of generated and human-annotated hallucinated samples for evaluating the performance of LLMs in recognizing hallucination. To generate these samples, we propose a ChatGPT-based two-step framework, i.e., sampling-then-filtering. Besides, we also hire some human labelers to annotate the hallucinations in ChatGPT responses. The empirical results suggest that ChatGPT is likely to generate hallucinated content in specific topics by fabricating unverifiable information (i.e., about 19.5% responses). Moreover, existing LLMs face great challenges in recognizing the hallucinations in texts. However, our experiments also prove that providing external knowledge or adding reasoning steps can help LLMs recognize hallucinations. Our benchmark can be accessed at https://github.com/RUCAIBox/HaluEval.

Hallucinations pose a significant challenge to the reliability of large language models (LLMs) in critical domains. Recent benchmarks designed to assess LLM hallucinations within conventional NLP tasks, such as knowledge-intensive question answering (QA) and summarization, are insufficient for capturing the complexities of user-LLM interactions in dynamic, real-world settings. To address this gap, we introduce HaluEval-Wild, the first benchmark specifically designed to evaluate LLM hallucinations in the wild. We meticulously collect challenging (adversarially filtered by Alpaca) user queries from existing real-world user-LLM interaction datasets, including ShareGPT, to evaluate the hallucination rates of various LLMs. Upon analyzing the collected queries, we categorize them into five distinct types, which enables a fine-grained analysis of the types of hallucinations LLMs exhibit, and synthesize the reference answers with the powerful GPT-4 model and retrieval-augmented generation (RAG). Our benchmark offers a novel approach towards enhancing our comprehension and improvement of LLM reliability in scenarios reflective of real-world interactions.

Large Language Models (LLMs) suffer from hallucinations, referring to the non-factual information in generated content, despite their superior capacities across tasks. Meanwhile, knowledge editing has been developed as a new popular paradigm to correct the erroneous factual knowledge encoded in LLMs with the advantage of avoiding retraining from scratch. However, one common issue of existing evaluation datasets for knowledge editing is that they do not ensure LLMs actually generate hallucinated answers to the evaluation questions before editing. When LLMs are evaluated on such datasets after being edited by different techniques, it is hard to directly adopt the performance to assess the effectiveness of different knowledge editing methods in correcting hallucinations. Thus, the fundamental question remains insufficiently validated: Can knowledge editing really correct hallucinations in LLMs? We proposed HalluEditBench to holistically benchmark knowledge editing methods in correcting real-world hallucinations. First, we rigorously construct a massive hallucination dataset with 9 domains, 26 topics and more than 6,000 hallucinations. Then, we assess the performance of knowledge editing methods in a holistic way on five dimensions including Efficacy, Generalization, Portability, Locality, and Robustness. Through HalluEditBench, we have provided new insights into the potentials and limitations of different knowledge editing methods in correcting hallucinations, which could inspire future improvements and facilitate the progress in the field of knowledge editing.

Large Multimodal Models (LMM) are built across modalities and the misalignment between two modalities can result in "hallucination", generating textual outputs that are not grounded by the multimodal information in context. To address the multimodal misalignment issue, we adapt the Reinforcement Learning from Human Feedback (RLHF) from the text domain to the task of vision-language alignment, where human annotators are asked to compare two responses and pinpoint the more hallucinated one, and the vision-language model is trained to maximize the simulated human rewards. We propose a new alignment algorithm called Factually Augmented RLHF that augments the reward model with additional factual information such as image captions and ground-truth multi-choice options, which alleviates the reward hacking phenomenon in RLHF and further improves the performance. We also enhance the GPT-4-generated training data (for vision instruction tuning) with previously available human-written image-text pairs to improve the general capabilities of our model. To evaluate the proposed approach in real-world scenarios, we develop a new evaluation benchmark MMHAL-BENCH with a special focus on penalizing hallucinations. As the first LMM trained with RLHF, our approach achieves remarkable improvement on the LLaVA-Bench dataset with the 94% performance level of the text-only GPT-4 (while previous best methods can only achieve the 87% level), and an improvement by 60% on MMHAL-BENCH over other baselines. We opensource our code, model, data at https://llava-rlhf.github.io.

Large Language Models (LLMs) have shown their ability to collaborate effectively with humans in real-world scenarios. However, LLMs are apt to generate hallucinations, i.e., makeup incorrect text and unverified information, which can cause significant damage when deployed for mission-critical tasks. In this paper, we propose a self-check approach based on reverse validation to detect factual errors automatically in a zero-resource fashion. To facilitate future studies and assess different methods, we construct a hallucination detection benchmark named PHD, which is generated by ChatGPT and annotated by human annotators. Contrasting previous studies of zero-resource hallucination detection, our method and benchmark concentrate on passage-level detection instead of sentence-level. We empirically evaluate our method and existing zero-resource detection methods on two datasets. The experimental results demonstrate that the proposed method considerably outperforms the baselines while costing fewer tokens and less time. Furthermore, we manually analyze some hallucination cases that LLM failed to capture, revealing the shared limitation of zero-resource methods.

Recently, extensive research on the hallucination of the large language models (LLMs) has mainly focused on the English language. Despite the growing number of multilingual and Arabic-specific LLMs, evaluating LLMs' hallucination in the Arabic context remains relatively underexplored. The knowledge gap is particularly pressing given Arabic's widespread use across many regions and its importance in global communication and media. This paper presents the first comprehensive hallucination evaluation of Arabic and multilingual LLMs on two critical Arabic natural language generation tasks: generative question answering (GQA) and summarization. This study evaluates a total of 12 LLMs, including 4 Arabic pre-trained models, 4 multilingual models, and 4 reasoning-based models. To assess the factual consistency and faithfulness of LLMs' outputs, we developed a fine-grained hallucination evaluation framework consisting of 12 fine-grained hallucination indicators that represent the varying characteristics of each task. The results reveal that factual hallucinations are more prevalent than faithfulness errors across all models and tasks. Notably, the Arabic pre-trained model Allam consistently demonstrates lower hallucination rates than multilingual models and a comparative performance with reasoning-based models. The code is available at: https://github.com/aishaalansari57/AraHalluEval

Knowledge hallucination have raised widespread concerns for the security and reliability of deployed LLMs. Previous efforts in detecting hallucinations have been employed at logit-level uncertainty estimation or language-level self-consistency evaluation, where the semantic information is inevitably lost during the token-decoding procedure. Thus, we propose to explore the dense semantic information retained within LLMs' INternal States for hallucInation DEtection (INSIDE). In particular, a simple yet effective EigenScore metric is proposed to better evaluate responses' self-consistency, which exploits the eigenvalues of responses' covariance matrix to measure the semantic consistency/diversity in the dense embedding space. Furthermore, from the perspective of self-consistent hallucination detection, a test time feature clipping approach is explored to truncate extreme activations in the internal states, which reduces overconfident generations and potentially benefits the detection of overconfident hallucinations. Extensive experiments and ablation studies are performed on several popular LLMs and question-answering (QA) benchmarks, showing the effectiveness of our proposal.

Summarization is one of the most common tasks performed by large language models (LLMs), especially in applications like Retrieval-Augmented Generation (RAG). However, existing evaluations of hallucinations in LLM-generated summaries, and evaluations of hallucination detection models both suffer from a lack of diversity and recency in the LLM and LLM families considered. This paper introduces FaithBench, a summarization hallucination benchmark comprising challenging hallucinations made by 10 modern LLMs from 8 different families, with ground truth annotations by human experts. ``Challenging'' here means summaries on which popular, state-of-the-art hallucination detection models, including GPT-4o-as-a-judge, disagreed on. Our results show GPT-4o and GPT-3.5-Turbo produce the least hallucinations. However, even the best hallucination detection models have near 50\% accuracies on FaithBench, indicating lots of room for future improvement. The repo is https://github.com/vectara/FaithBench

Recent advancements in Large Vision-Language Models (LVLMs) have significantly expanded their utility in tasks like image captioning and visual question answering. However, they still struggle with object hallucination, where models generate descriptions that inaccurately reflect the visual content by including nonexistent objects or misrepresenting existing ones. While previous methods, such as data augmentation and training-free approaches, strive to tackle this issue, they still encounter scalability challenges and often depend on additional external modules. In this work, we propose Ensemble Decoding (ED), a novel strategy that splits the input image into sub-images and combines logit distributions by assigning weights through the attention map. Furthermore, we introduce ED adaptive plausibility constraint to calibrate logit distribution and FastED, a variant designed for speed-critical applications. Extensive experiments across hallucination benchmarks demonstrate that our proposed method achieves state-of-the-art performance, validating the effectiveness of our approach.

Video large language models have not yet been widely deployed, largely due to their tendency to hallucinate. Typical benchmarks for Video-LLMs rely simply on multiple-choice questions. Unfortunately, VideoLLMs hallucinate far more aggressively on freeform text generation tasks like video captioning than they do on multiple choice verification tasks. To address this weakness, we propose ARGUS, a VideoLLM benchmark that measures freeform video captioning performance. By comparing VideoLLM outputs to human ground truth captions, ARGUS quantifies dual metrics. First, we measure the rate of hallucinations in the form of incorrect statements about video content or temporal relationships. Second, we measure the rate at which the model omits important descriptive details. Together, these dual metrics form a comprehensive view of video captioning performance.

Vision-language models (VLMs) are prone to object hallucinations, where they erroneously indicate the presenceof certain objects in an image. Existing benchmarks quantify hallucinations using relatively small, labeled datasets. However, this approach is i) insufficient to assess hallucinations that arise in open-world settings, where VLMs are widely used, and ii) inadequate for detecting systematic errors in VLMs. We propose DASH (Detection and Assessment of Systematic Hallucinations), an automatic, large-scale pipeline designed to identify systematic hallucinations of VLMs on real-world images in an open-world setting. A key component is DASH-OPT for image-based retrieval, where we optimize over the ''natural image manifold'' to generate images that mislead the VLM. The output of DASH consists of clusters of real and semantically similar images for which the VLM hallucinates an object. We apply DASH to PaliGemma and two LLaVA-NeXT models across 380 object classes and, in total, find more than 19k clusters with 950k images. We study the transfer of the identified systematic hallucinations to other VLMs and show that fine-tuning PaliGemma with the model-specific images obtained with DASH mitigates object hallucinations. Code and data are available at https://YanNeu.github.io/DASH.

In the era of large language models (LLMs), hallucination (i.e., the tendency to generate factually incorrect content) poses great challenge to trustworthy and reliable deployment of LLMs in real-world applications. To tackle the LLM hallucination, three key questions should be well studied: how to detect hallucinations (detection), why do LLMs hallucinate (source), and what can be done to mitigate them (mitigation). To address these challenges, this work presents a systematic empirical study on LLM hallucination, focused on the the three aspects of hallucination detection, source and mitigation. Specially, we construct a new hallucination benchmark HaluEval 2.0, and designs a simple yet effective detection method for LLM hallucination. Furthermore, we zoom into the different training or utilization stages of LLMs and extensively analyze the potential factors that lead to the LLM hallucination. Finally, we implement and examine a series of widely used techniques to mitigate the hallucinations in LLMs. Our work has led to several important findings to understand the hallucination origin and mitigate the hallucinations in LLMs. Our code and data can be accessed at https://github.com/RUCAIBox/HaluEval-2.0.

Multi-modal Large Language Models (MLLMs) tuned on machine-generated instruction-following data have demonstrated remarkable performance in various multi-modal understanding and generation tasks. However, the hallucinations inherent in machine-generated data, which could lead to hallucinatory outputs in MLLMs, remain under-explored. This work aims to investigate various hallucinations (i.e., object, relation, attribute hallucinations) and mitigate those hallucinatory toxicities in large-scale machine-generated visual instruction datasets. Drawing on the human ability to identify factual errors, we present a novel hallucination detection and elimination framework, HalluciDoctor, based on the cross-checking paradigm. We use our framework to identify and eliminate hallucinations in the training data automatically. Interestingly, HalluciDoctor also indicates that spurious correlations arising from long-tail object co-occurrences contribute to hallucinations. Based on that, we execute counterfactual visual instruction expansion to balance data distribution, thereby enhancing MLLMs' resistance to hallucinations. Comprehensive experiments on hallucination evaluation benchmarks show that our method successfully mitigates 44.6% hallucinations relatively and maintains competitive performance compared to LLaVA.The source code will be released at https://github.com/Yuqifan1117/HalluciDoctor.

Vision language models (VLMs) perceive the world through a combination of a visual encoder and a large language model (LLM). The visual encoder, pre-trained on large-scale vision-text datasets, provides zero-shot generalization to visual data, and the LLM endows its high reasoning ability to VLMs. It leads VLMs to achieve high performance on wide benchmarks without fine-tuning, exhibiting zero or few-shot capability. However, recent studies show that VLMs are vulnerable to hallucination. This undesirable behavior degrades reliability and credibility, thereby making users unable to fully trust the output from VLMs. To enhance trustworthiness and better tackle the hallucination of VLMs, we curate a new evaluation dataset, called the BEfore-AFter hallucination dataset (BEAF), and introduce new metrics: True Understanding (TU), IGnorance (IG), StuBbornness (SB), and InDecision (ID). Unlike prior works that focus only on constructing questions and answers, the key idea of our benchmark is to manipulate visual scene information by image editing models and to design the metrics based on scene changes. This allows us to clearly assess whether VLMs correctly understand a given scene by observing the ability to perceive changes. We also visualize image-wise object relationship by virtue of our two-axis view: vision and text. Upon evaluating VLMs with our dataset, we observed that our metrics reveal different aspects of VLM hallucination that have not been reported before. Project page: https://beafbench.github.io/

Vision-Language Models (VLMs) often generate plausible but incorrect responses to visual queries. However, reliably quantifying the effect of such hallucinations in free-form responses to open-ended queries is challenging as it requires visually verifying each claim within the response. We propose Programmatic VLM Evaluation (PROVE), a new benchmarking paradigm for evaluating VLM responses to open-ended queries. To construct PROVE, we provide a large language model (LLM) with a high-fidelity scene-graph representation constructed from a hyper-detailed image caption, and prompt it to generate diverse question-answer (QA) pairs, as well as programs that can be executed over the scene graph object to verify each QA pair. We thus construct a benchmark of 10.5k challenging but visually grounded QA pairs. Next, to evaluate free-form model responses to queries in PROVE, we propose a programmatic evaluation strategy that measures both the helpfulness and truthfulness of a response within a unified scene graph-based framework. We benchmark the helpfulness-truthfulness trade-offs of a range of VLMs on PROVE, finding that very few are in-fact able to achieve a good balance between the two. Project page: https://prove-explorer.netlify.app/.

Large vision language models (LVLMs) often suffer from object hallucination, producing objects not present in the given images. While current benchmarks for object hallucination primarily concentrate on the presence of a single object class rather than individual entities, this work systematically investigates multi-object hallucination, examining how models misperceive (e.g., invent nonexistent objects or become distracted) when tasked with focusing on multiple objects simultaneously. We introduce Recognition-based Object Probing Evaluation (ROPE), an automated evaluation protocol that considers the distribution of object classes within a single image during testing and uses visual referring prompts to eliminate ambiguity. With comprehensive empirical studies and analysis of potential factors leading to multi-object hallucination, we found that (1) LVLMs suffer more hallucinations when focusing on multiple objects compared to a single object. (2) The tested object class distribution affects hallucination behaviors, indicating that LVLMs may follow shortcuts and spurious correlations.(3) Hallucinatory behaviors are influenced by data-specific factors, salience and frequency, and model intrinsic behaviors. We hope to enable LVLMs to recognize and reason about multiple objects that often occur in realistic visual scenes, provide insights, and quantify our progress towards mitigating the issues.

Instruction-following Vision Large Language Models (VLLMs) have achieved significant progress recently on a variety of tasks. These approaches merge strong pre-trained vision models and large language models (LLMs). Since these components are trained separately, the learned representations need to be aligned with joint training on additional image-language pairs. This procedure is not perfect and can cause the model to hallucinate - provide answers that do not accurately reflect the image, even when the core LLM is highly factual and the vision backbone has sufficiently complete representations. In this work, we frame the hallucination problem as an alignment issue, tackle it with preference tuning. Specifically, we propose POVID to generate feedback data with AI models. We use ground-truth instructions as the preferred response and a two-stage approach to generate dispreferred data. First, we prompt GPT-4V to inject plausible hallucinations into the correct answer. Second, we distort the image to trigger the inherent hallucination behavior of the VLLM. This is an automated approach, which does not rely on human data generation or require a perfect expert, which makes it easily scalable. Finally, both of these generation strategies are integrated into an RLHF pipeline via Direct Preference Optimization. In experiments across broad benchmarks, we show that we can not only reduce hallucinations, but improve model performance across standard benchmarks, outperforming prior approaches. Our data and code are available at https://github.com/YiyangZhou/POVID.

Current large language models (LLMs) often suffer from hallucination issues, i,e, generating content that appears factual but is actually unreliable. A typical hallucination detection pipeline involves response decomposition (i.e., claim extraction), query generation, evidence collection (i.e., search or retrieval), and claim verification. However, existing methods exhibit limitations in the first two stages, such as context loss during claim extraction and low specificity in query generation, resulting in degraded performance across the hallucination detection pipeline. In this work, we introduce JointCQ https://github.com/pku0xff/JointCQ, a joint claim-and-query generation framework designed to construct an effective and efficient claim-query generator. Our framework leverages elaborately designed evaluation criteria to filter synthesized training data, and finetunes a language model for joint claim extraction and query generation, providing reliable and informative inputs for downstream search and verification. Experimental results demonstrate that our method outperforms previous methods on multiple open-domain QA hallucination detection benchmarks, advancing the goal of more trustworthy and transparent language model systems.

Hallucination plagues even frontier LLMs--but how bad is it really for summarizing academic papers? We evaluate Factored Verification, a simple automated method for detecting hallucinations in abstractive summaries. This method sets a new SotA on hallucination detection in the summarization task of the HaluEval benchmark, achieving 76.2% accuracy. We then use this method to estimate how often language models hallucinate when summarizing across multiple academic papers and find 0.62 hallucinations in the average ChatGPT (16k) summary, 0.84 for GPT-4, and 1.55 for Claude 2. We ask models to self-correct using Factored Critiques and find that this lowers the number of hallucinations to 0.49 for ChatGPT, 0.46 for GPT-4, and 0.95 for Claude 2. The hallucinations we find are often subtle, so we advise caution when using models to synthesize academic papers.

Hallucinations in large language model (LLM) outputs severely limit their reliability in knowledge-intensive tasks such as question answering. To address this challenge, we introduce REFIND (Retrieval-augmented Factuality hallucINation Detection), a novel framework that detects hallucinated spans within LLM outputs by directly leveraging retrieved documents. As part of the REFIND, we propose the Context Sensitivity Ratio (CSR), a novel metric that quantifies the sensitivity of LLM outputs to retrieved evidence. This innovative approach enables REFIND to efficiently and accurately detect hallucinations, setting it apart from existing methods. In the evaluation, REFIND demonstrated robustness across nine languages, including low-resource settings, and significantly outperformed baseline models, achieving superior IoU scores in identifying hallucinated spans. This work highlights the effectiveness of quantifying context sensitivity for hallucination detection, thereby paving the way for more reliable and trustworthy LLM applications across diverse languages.

Despite the outstanding performance in vision-language reasoning, Large Vision-Language Models (LVLMs) might generate hallucinated contents that do not exist in the given image. Most existing LVLM hallucination benchmarks are constrained to evaluate the object-related hallucinations. However, the potential hallucination on the relations between two objects, i.e., relation hallucination, still lacks investigation. To remedy that, in this paper we design a unified framework to measure object and relation hallucination in LVLMs simultaneously. The core idea of our framework is to conduct hallucination evaluation on (object, relation, object) triplets extracted from LVLMs' responses, and thus, could be easily generalized to different vision-language tasks. Based on our framework, we further introduce Tri-HE, a novel Triplet-level Hallucination Evaluation benchmark which can be used to study both object and relation hallucination at the same time. We conduct comprehensive evaluations on Tri-HE and observe that the relation hallucination issue is even more serious than object hallucination among existing LVLMs, highlighting a previously neglected problem towards reliable LVLMs. Moreover, based on our findings, we design a simple yet effective training-free approach to mitigate hallucinations for LVLMs, with which, we exceed all open-sourced counterparts on Tri-HE, achieving comparable performance with the powerful GPT-4V. Our dataset and code for the reproduction of our experiments are available publicly at https://github.com/wujunjie1998/Tri-HE.

In this paper, we establish a benchmark named HalluQA (Chinese Hallucination Question-Answering) to measure the hallucination phenomenon in Chinese large language models. HalluQA contains 450 meticulously designed adversarial questions, spanning multiple domains, and takes into account Chinese historical culture, customs, and social phenomena. During the construction of HalluQA, we consider two types of hallucinations: imitative falsehoods and factual errors, and we construct adversarial samples based on GLM-130B and ChatGPT. For evaluation, we design an automated evaluation method using GPT-4 to judge whether a model output is hallucinated. We conduct extensive experiments on 24 large language models, including ERNIE-Bot, Baichuan2, ChatGLM, Qwen, SparkDesk and etc. Out of the 24 models, 18 achieved non-hallucination rates lower than 50%. This indicates that HalluQA is highly challenging. We analyze the primary types of hallucinations in different types of models and their causes. Additionally, we discuss which types of hallucinations should be prioritized for different types of models.

Despite their impressive capabilities, large language models (LLMs) have been observed to generate responses that include inaccurate or fabricated information, a phenomenon commonly known as ``hallucination''. In this work, we propose a simple Induce-then-Contrast Decoding (ICD) strategy to alleviate hallucinations. We first construct a factually weak LLM by inducing hallucinations from the original LLMs. Then, we penalize these induced hallucinations during decoding to enhance the factuality of the generated content. Concretely, we determine the final next-token predictions by amplifying the predictions from the original model and downplaying the induced untruthful predictions via contrastive decoding. Experimental results on both discrimination-based and generation-based hallucination evaluation benchmarks, such as TruthfulQA and FActScore, demonstrate that our proposed ICD methods can effectively enhance the factuality of LLMs across various model sizes and families. For example, when equipped with ICD, Llama2-7B-Chat and Mistral-7B-Instruct achieve performance comparable to ChatGPT and GPT4 on TruthfulQA, respectively.

Hallucinations in generative AI, particularly in Large Language Models (LLMs), pose a significant challenge to the reliability of multilingual applications. Existing benchmarks for hallucination detection focus primarily on English and a few widely spoken languages, lacking the breadth to assess inconsistencies in model performance across diverse linguistic contexts. To address this gap, we introduce Poly-FEVER, a large-scale multilingual fact verification benchmark specifically designed for evaluating hallucination detection in LLMs. Poly-FEVER comprises 77,973 labeled factual claims spanning 11 languages, sourced from FEVER, Climate-FEVER, and SciFact. It provides the first large-scale dataset tailored for analyzing hallucination patterns across languages, enabling systematic evaluation of LLMs such as ChatGPT and the LLaMA series. Our analysis reveals how topic distribution and web resource availability influence hallucination frequency, uncovering language-specific biases that impact model accuracy. By offering a multilingual benchmark for fact verification, Poly-FEVER facilitates cross-linguistic comparisons of hallucination detection and contributes to the development of more reliable, language-inclusive AI systems. The dataset is publicly available to advance research in responsible AI, fact-checking methodologies, and multilingual NLP, promoting greater transparency and robustness in LLM performance. The proposed Poly-FEVER is available at: https://huggingface.co/datasets/HanzhiZhang/Poly-FEVER.

Large Vision-Language Models (LVLMs) have recently demonstrated remarkable progress, yet hallucination remains a critical barrier, particularly in chart understanding, which requires sophisticated perceptual and cognitive abilities as well as rigorous factual accuracy. While prior work has investigated hallucinations and chart comprehension independently, their intersection remains largely unexplored. To address this gap, we present ChartHal, a benchmark that features a fine-grained taxonomy of hallucination scenarios in chart understanding, along with a human-validated dataset of 1,062 samples. Our evaluation shows that state-of-the-art LVLMs suffer from severe hallucinations on ChartHal, including proprietary models such as GPT-5 and o4-mini, which achieve only 34.46% and 22.79% accuracy, respectively. Further analysis reveals that questions involving information absent from or contradictory to charts are especially likely to trigger hallucinations, underscoring the urgent need for more robust mitigation strategies. Code and data are available at https://github.com/ymcui/ChartHal .

The recent advancements in Large Language Models (LLMs) have garnered widespread acclaim for their remarkable emerging capabilities. However, the issue of hallucination has parallelly emerged as a by-product, posing significant concerns. While some recent endeavors have been made to identify and mitigate different types of hallucination, there has been a limited emphasis on the nuanced categorization of hallucination and associated mitigation methods. To address this gap, we offer a fine-grained discourse on profiling hallucination based on its degree, orientation, and category, along with offering strategies for alleviation. As such, we define two overarching orientations of hallucination: (i) factual mirage (FM) and (ii) silver lining (SL). To provide a more comprehensive understanding, both orientations are further sub-categorized into intrinsic and extrinsic, with three degrees of severity - (i) mild, (ii) moderate, and (iii) alarming. We also meticulously categorize hallucination into six types: (i) acronym ambiguity, (ii) numeric nuisance, (iii) generated golem, (iv) virtual voice, (v) geographic erratum, and (vi) time wrap. Furthermore, we curate HallucInation eLiciTation (HILT), a publicly available dataset comprising of 75,000 samples generated using 15 contemporary LLMs along with human annotations for the aforementioned categories. Finally, to establish a method for quantifying and to offer a comparative spectrum that allows us to evaluate and rank LLMs based on their vulnerability to producing hallucinations, we propose Hallucination Vulnerability Index (HVI). We firmly believe that HVI holds significant value as a tool for the wider NLP community, with the potential to serve as a rubric in AI-related policy-making. In conclusion, we propose two solution strategies for mitigating hallucinations.

While hallucinations of large language models (LLMs) prevail as a major challenge, existing evaluation benchmarks on factuality do not cover the diverse domains of knowledge that the real-world users of LLMs seek information about. To bridge this gap, we introduce WildHallucinations, a benchmark that evaluates factuality. It does so by prompting LLMs to generate information about entities mined from user-chatbot conversations in the wild. These generations are then automatically fact-checked against a systematically curated knowledge source collected from web search. Notably, half of these real-world entities do not have associated Wikipedia pages. We evaluate 118,785 generations from 15 LLMs on 7,919 entities. We find that LLMs consistently hallucinate more on entities without Wikipedia pages and exhibit varying hallucination rates across different domains. Finally, given the same base models, adding a retrieval component only slightly reduces hallucinations but does not eliminate hallucinations.

Aligning large language models (LLMs) to accurately detect hallucinations remains a significant challenge due to the sophisticated nature of hallucinated text. Recognizing that hallucinated samples typically exhibit higher deceptive quality than traditional negative samples, we use these carefully engineered hallucinations as negative examples in the DPO alignment procedure. Our method incorporates a curriculum learning strategy, gradually transitioning the training from easier samples, identified based on the greatest reduction in probability scores from independent fact checking models, to progressively harder ones. This structured difficulty scaling ensures stable and incremental learning. Experimental evaluation demonstrates that our HaluCheck models, trained with curriculum DPO approach and high quality negative samples, significantly improves model performance across various metrics, achieving improvements of upto 24% on difficult benchmarks like MedHallu and HaluEval. Additionally, HaluCheck models demonstrate robustness in zero-shot settings, significantly outperforming larger state-of-the-art models across various benchmarks.

Large language models (LLMs) face the challenge of hallucinations -- outputs that seem coherent but are actually incorrect. A particularly damaging type is fact-conflicting hallucination (FCH), where generated content contradicts established facts. Addressing FCH presents three main challenges: 1) Automatically constructing and maintaining large-scale benchmark datasets is difficult and resource-intensive; 2) Generating complex and efficient test cases that the LLM has not been trained on -- especially those involving intricate temporal features -- is challenging, yet crucial for eliciting hallucinations; and 3) Validating the reasoning behind LLM outputs is inherently difficult, particularly with complex logical relationships, as it requires transparency in the model's decision-making process. This paper presents Drowzee, an innovative end-to-end metamorphic testing framework that utilizes temporal logic to identify fact-conflicting hallucinations (FCH) in large language models (LLMs). Drowzee builds a comprehensive factual knowledge base by crawling sources like Wikipedia and uses automated temporal-logic reasoning to convert this knowledge into a large, extensible set of test cases with ground truth answers. LLMs are tested using these cases through template-based prompts, which require them to generate both answers and reasoning steps. To validate the reasoning, we propose two semantic-aware oracles that compare the semantic structure of LLM outputs to the ground truths. Across nine LLMs in nine different knowledge domains, experimental results show that Drowzee effectively identifies rates of non-temporal-related hallucinations ranging from 24.7% to 59.8%, and rates of temporal-related hallucinations ranging from 16.7% to 39.2%.

Large language models (LLMs) have significantly advanced natural language processing tasks, yet they are susceptible to generating inaccurate or unreliable responses, a phenomenon known as hallucination. In critical domains such as health and medicine, these hallucinations can pose serious risks. This paper introduces HALO, a novel framework designed to enhance the accuracy and reliability of medical question-answering (QA) systems by focusing on the detection and mitigation of hallucinations. Our approach generates multiple variations of a given query using LLMs and retrieves relevant information from external open knowledge bases to enrich the context. We utilize maximum marginal relevance scoring to prioritize the retrieved context, which is then provided to LLMs for answer generation, thereby reducing the risk of hallucinations. The integration of LangChain further streamlines this process, resulting in a notable and robust increase in the accuracy of both open-source and commercial LLMs, such as Llama-3.1 (from 44% to 65%) and ChatGPT (from 56% to 70%). This framework underscores the critical importance of addressing hallucinations in medical QA systems, ultimately improving clinical decision-making and patient care. The open-source HALO is available at: https://github.com/ResponsibleAILab/HALO.

Recent progress in Large Vision-Language Models (LVLMs) has enabled promising applications in medical tasks, such as report generation and visual question answering. However, existing benchmarks focus mainly on the final diagnostic answer, offering limited insight into whether models engage in clinically meaningful reasoning. To address this, we present CheXStruct and CXReasonBench, a structured pipeline and benchmark built on the publicly available MIMIC-CXR-JPG dataset. CheXStruct automatically derives a sequence of intermediate reasoning steps directly from chest X-rays, such as segmenting anatomical regions, deriving anatomical landmarks and diagnostic measurements, computing diagnostic indices, and applying clinical thresholds. CXReasonBench leverages this pipeline to evaluate whether models can perform clinically valid reasoning steps and to what extent they can learn from structured guidance, enabling fine-grained and transparent assessment of diagnostic reasoning. The benchmark comprises 18,988 QA pairs across 12 diagnostic tasks and 1,200 cases, each paired with up to 4 visual inputs, and supports multi-path, multi-stage evaluation including visual grounding via anatomical region selection and diagnostic measurements. Even the strongest of 10 evaluated LVLMs struggle with structured reasoning and generalization, often failing to link abstract knowledge with anatomically grounded visual interpretation. The code is available at https://github.com/ttumyche/CXReasonBench

This paper introduces a comprehensive system for detecting hallucinations in large language model (LLM) outputs in enterprise settings. We present a novel taxonomy of LLM responses specific to hallucination in enterprise applications, categorizing them into context-based, common knowledge, enterprise-specific, and innocuous statements. Our hallucination detection model HDM-2 validates LLM responses with respect to both context and generally known facts (common knowledge). It provides both hallucination scores and word-level annotations, enabling precise identification of problematic content. To evaluate it on context-based and common-knowledge hallucinations, we introduce a new dataset HDMBench. Experimental results demonstrate that HDM-2 out-performs existing approaches across RagTruth, TruthfulQA, and HDMBench datasets. This work addresses the specific challenges of enterprise deployment, including computational efficiency, domain specialization, and fine-grained error identification. Our evaluation dataset, model weights, and inference code are publicly available.

Recent development of Large Vision-Language Models (LVLMs) has attracted growing attention within the AI landscape for its practical implementation potential. However, ``hallucination'', or more specifically, the misalignment between factual visual content and corresponding textual generation, poses a significant challenge of utilizing LVLMs. In this comprehensive survey, we dissect LVLM-related hallucinations in an attempt to establish an overview and facilitate future mitigation. Our scrutiny starts with a clarification of the concept of hallucinations in LVLMs, presenting a variety of hallucination symptoms and highlighting the unique challenges inherent in LVLM hallucinations. Subsequently, we outline the benchmarks and methodologies tailored specifically for evaluating hallucinations unique to LVLMs. Additionally, we delve into an investigation of the root causes of these hallucinations, encompassing insights from the training data and model components. We also critically review existing methods for mitigating hallucinations. The open questions and future directions pertaining to hallucinations within LVLMs are discussed to conclude this survey.

Contextual hallucinations -- statements unsupported by given context -- remain a significant challenge in AI. We demonstrate a practical interpretability insight: a generator-agnostic observer model detects hallucinations via a single forward pass and a linear probe on its residual stream. This probe isolates a single, transferable linear direction separating hallucinated from faithful text, outperforming baselines by 5-27 points and showing robust mid-layer performance across Gemma-2 models (2B to 27B). Gradient-times-activation localises this signal to sparse, late-layer MLP activity. Critically, manipulating this direction causally steers generator hallucination rates, proving its actionability. Our results offer novel evidence of internal, low-dimensional hallucination tracking linked to specific MLP sub-circuits, exploitable for detection and mitigation. We release the 2000-example ContraTales benchmark for realistic assessment of such solutions.

Large Vision-Language Models (LVLMs) are increasingly adept at generating contextually detailed and coherent responses from visual inputs. However, their application in multimodal decision-making and open-ended generation is hindered by a notable rate of hallucinations, where generated text inaccurately represents the visual contents. To address this issue, this paper introduces the Instruction Contrastive Decoding (ICD) method, a novel approach designed to reduce hallucinations during LVLM inference. Our method is inspired by our observation that what we call disturbance instructions significantly exacerbate hallucinations in multimodal fusion modules. ICD contrasts distributions from standard and instruction disturbance, thereby increasing alignment uncertainty and effectively subtracting hallucinated concepts from the original distribution. Through comprehensive experiments on discriminative benchmarks (POPE and MME) and a generative benchmark (LLaVa-Bench), we demonstrate that ICD significantly mitigates both object-level and attribute-level hallucinations. Moreover, our method not only addresses hallucinations but also significantly enhances the general perception and recognition capabilities of LVLMs.

Most existing video understanding benchmarks for multimodal large language models (MLLMs) focus only on short videos. The limited number of benchmarks for long video understanding often rely solely on multiple-choice questions (MCQs). However, because of the inherent limitation of MCQ-based evaluation and the increasing reasoning ability of MLLMs, models can give the current answer purely by combining short video understanding with elimination, without genuinely understanding the video content. To address this gap, we introduce CG-Bench, a novel benchmark designed for clue-grounded question answering in long videos. CG-Bench emphasizes the model's ability to retrieve relevant clues for questions, enhancing evaluation credibility. It features 1,219 manually curated videos categorized by a granular system with 14 primary categories, 171 secondary categories, and 638 tertiary categories, making it the largest benchmark for long video analysis. The benchmark includes 12,129 QA pairs in three major question types: perception, reasoning, and hallucination. Compensating the drawbacks of pure MCQ-based evaluation, we design two novel clue-based evaluation methods: clue-grounded white box and black box evaluations, to assess whether the model generates answers based on the correct understanding of the video. We evaluate multiple closed-source and open-source MLLMs on CG-Bench. Results indicate that current models significantly underperform in understanding long videos compared to short ones, and a significant gap exists between open-source and commercial models. We hope CG-Bench can advance the development of more trustworthy and capable MLLMs for long video understanding. All annotations and video data are released at https://cg-bench.github.io/leaderboard/.

Although many studies have investigated and reduced hallucinations in large language models (LLMs) for single-document tasks, research on hallucination in multi-document summarization (MDS) tasks remains largely unexplored. Specifically, it is unclear how the challenges arising from handling multiple documents (e.g., repetition and diversity of information) affect models outputs. In this work, we investigate how hallucinations manifest in LLMs when summarizing topic-specific information from multiple documents. Since no benchmarks exist for investigating hallucinations in MDS, we use existing news and conversation datasets, annotated with topic-specific insights, to create two novel multi-document benchmarks. When evaluating 5 LLMs on our benchmarks, we observe that on average, up to 75% of the content in LLM-generated summary is hallucinated, with hallucinations more likely to occur towards the end of the summaries. Moreover, when summarizing non-existent topic-related information, gpt-3.5-turbo and GPT-4o still generate summaries about 79.35% and 44% of the time, raising concerns about their tendency to fabricate content. To understand the characteristics of these hallucinations, we manually evaluate 700+ insights and find that most errors stem from either failing to follow instructions or producing overly generic insights. Motivated by these observations, we investigate the efficacy of simple post-hoc baselines in mitigating hallucinations but find them only moderately effective. Our results underscore the need for more effective approaches to systematically mitigate hallucinations in MDS. We release our dataset and code at github.com/megagonlabs/Hallucination_MDS.

Recent advancements in Multimodal Large Language Models (MLLMs) have extended their capabilities to video understanding. Yet, these models are often plagued by "hallucinations", where irrelevant or nonsensical content is generated, deviating from the actual video context. This work introduces VideoHallucer, the first comprehensive benchmark for hallucination detection in large video-language models (LVLMs). VideoHallucer categorizes hallucinations into two main types: intrinsic and extrinsic, offering further subcategories for detailed analysis, including object-relation, temporal, semantic detail, extrinsic factual, and extrinsic non-factual hallucinations. We adopt an adversarial binary VideoQA method for comprehensive evaluation, where pairs of basic and hallucinated questions are crafted strategically. By evaluating eleven LVLMs on VideoHallucer, we reveal that i) the majority of current models exhibit significant issues with hallucinations; ii) while scaling datasets and parameters improves models' ability to detect basic visual cues and counterfactuals, it provides limited benefit for detecting extrinsic factual hallucinations; iii) existing models are more adept at detecting facts than identifying hallucinations. As a byproduct, these analyses further instruct the development of our self-PEP framework, achieving an average of 5.38% improvement in hallucination resistance across all model architectures.

Hallucinations pose a significant challenge to the reliability of large vision-language models, making their detection essential for ensuring accuracy in critical applications. Current detection methods often rely on computationally intensive models, leading to high latency and resource demands. Their definitive outcomes also fail to account for real-world scenarios where the line between hallucinated and truthful information is unclear. To address these issues, we propose HalLoc, a dataset designed for efficient, probabilistic hallucination detection. It features 150K token-level annotated samples, including hallucination types, across Visual Question Answering (VQA), instruction-following, and image captioning tasks. This dataset facilitates the development of models that detect hallucinations with graded confidence, enabling more informed user interactions. Additionally, we introduce a baseline model trained on HalLoc, offering low-overhead, concurrent hallucination detection during generation. The model can be seamlessly integrated into existing VLMs, improving reliability while preserving efficiency. The prospect of a robust plug-and-play hallucination detection module opens new avenues for enhancing the trustworthiness of vision-language models in real-world applications. The HalLoc dataset and code are publicly available at: https://github.com/dbsltm/cvpr25_halloc.

How can we test AI performance? This question seems trivial, but it isn't. Standard benchmarks often have problems such as in-distribution and small-size test sets, oversimplified metrics, unfair comparisons, and short-term outcome pressure. As a consequence, good performance on standard benchmarks does not guarantee success in real-world scenarios. To address these problems, we present Touchstone, a large-scale collaborative segmentation benchmark of 9 types of abdominal organs. This benchmark is based on 5,195 training CT scans from 76 hospitals around the world and 5,903 testing CT scans from 11 additional hospitals. This diverse test set enhances the statistical significance of benchmark results and rigorously evaluates AI algorithms across various out-of-distribution scenarios. We invited 14 inventors of 19 AI algorithms to train their algorithms, while our team, as a third party, independently evaluated these algorithms on three test sets. In addition, we also evaluated pre-existing AI frameworks--which, differing from algorithms, are more flexible and can support different algorithms--including MONAI from NVIDIA, nnU-Net from DKFZ, and numerous other open-source frameworks. We are committed to expanding this benchmark to encourage more innovation of AI algorithms for the medical domain.

Generative super-resolution (GSR) currently sets the state-of-the-art in terms of perceptual image quality, overcoming the "regression-to-the-mean" blur of prior non-generative models. However, from a human perspective, such models do not fully conform to the optimal balance between quality and fidelity. Instead, a different class of artifacts, in which generated details fail to perceptually match the low resolution image (LRI) or ground-truth image (GTI), is a critical but under studied issue in GSR, limiting its practical deployments. In this work, we focus on measuring, analyzing, and mitigating these artifacts (i.e., "hallucinations"). We observe that hallucinations are not well-characterized with existing image metrics or quality models, as they are orthogonal to both exact fidelity and no-reference quality. Instead, we take advantage of a multimodal large language model (MLLM) by constructing a prompt that assesses hallucinatory visual elements and generates a "Hallucination Score" (HS). We find that our HS is closely aligned with human evaluations, and also provides complementary insights to prior image metrics used for super-resolution (SR) models. In addition, we find certain deep feature distances have strong correlations with HS. We therefore propose to align the GSR models by using such features as differentiable reward functions to mitigate hallucinations.

Large language models (LMs) are prone to generate diverse factually incorrect statements, which are widely called hallucinations. Current approaches predominantly focus on coarse-grained automatic hallucination detection or editing, overlooking nuanced error levels. In this paper, we propose a novel task -- automatic fine-grained hallucination detection -- and present a comprehensive taxonomy encompassing six hierarchically defined types of hallucination. To facilitate evaluation, we introduce a new benchmark that includes fine-grained human judgments on two LM outputs across various domains. Our analysis reveals that ChatGPT and Llama 2-Chat exhibit hallucinations in 60% and 75% of their outputs, respectively, and a majority of these hallucinations fall into categories that have been underexplored. As an initial step to address this, we train FAVA, a retrieval-augmented LM by carefully designing synthetic data generations to detect and correct fine-grained hallucinations. On our benchmark, our automatic and human evaluations show that FAVA significantly outperforms ChatGPT on fine-grained hallucination detection by a large margin though a large room for future improvement still exists. FAVA's suggested edits also improve the factuality of LM-generated text, resulting in 5-10% FActScore improvements.

Multimodal large language models have made significant advancements in recent years, yet they still suffer from a common issue known as the "hallucination problem" where the models generate textual descriptions that contain inaccurate or non-existent content from the image. To address this issue, this paper introduces a novel strategy: Hallucination-Aware Direct Preference Optimization (HA-DPO). Our approach treats the hallucination problem as a unique preference selection issue, where the model is trained to favor the non-hallucinating response when presented with two responses of the same image (one accurate and one hallucinating). This paper also presents an efficient process for constructing hallucination sample pairs to ensure high-quality, style-consistent pairs for stable HA-DPO training. We applied this strategy to two mainstream multimodal models, and the results showed a significant reduction in the hallucination problem and an enhancement in the models' generalization capabilities. With HA-DPO, the MiniGPT-4 model demonstrates significant advancements: POPE accuracy increases from 51.13% to 85.66% (34.5% absolute improvement), and the MME score escalates from 968.58 to 1365.76 (41% relative improvement). The code, models, and datasets will be made publicly available.

Visualization, a domain-specific yet widely used form of imagery, is an effective way to turn complex datasets into intuitive insights, and its value depends on whether data are faithfully represented, clearly communicated, and aesthetically designed. However, evaluating visualization quality is challenging: unlike natural images, it requires simultaneous judgment across data encoding accuracy, information expressiveness, and visual aesthetics. Although multimodal large language models (MLLMs) have shown promising performance in aesthetic assessment of natural images, no systematic benchmark exists for measuring their capabilities in evaluating visualizations. To address this, we propose VisJudge-Bench, the first comprehensive benchmark for evaluating MLLMs' performance in assessing visualization aesthetics and quality. It contains 3,090 expert-annotated samples from real-world scenarios, covering single visualizations, multiple visualizations, and dashboards across 32 chart types. Systematic testing on this benchmark reveals that even the most advanced MLLMs (such as GPT-5) still exhibit significant gaps compared to human experts in judgment, with a Mean Absolute Error (MAE) of 0.551 and a correlation with human ratings of only 0.429. To address this issue, we propose VisJudge, a model specifically designed for visualization aesthetics and quality assessment. Experimental results demonstrate that VisJudge significantly narrows the gap with human judgment, reducing the MAE to 0.442 (a 19.8% reduction) and increasing the consistency with human experts to 0.681 (a 58.7% improvement) compared to GPT-5. The benchmark is available at https://github.com/HKUSTDial/VisJudgeBench.

Large language models (LLMs) have shown significant potential in scientific disciplines such as biomedicine, particularly in hypothesis generation, where they can analyze vast literature, identify patterns, and suggest research directions. However, a key challenge lies in evaluating the truthfulness of generated hypotheses, as verifying their accuracy often requires substantial time and resources. Additionally, the hallucination problem in LLMs can lead to the generation of hypotheses that appear plausible but are ultimately incorrect, undermining their reliability. To facilitate the systematic study of these challenges, we introduce TruthHypo, a benchmark for assessing the capabilities of LLMs in generating truthful biomedical hypotheses, and KnowHD, a knowledge-based hallucination detector to evaluate how well hypotheses are grounded in existing knowledge. Our results show that LLMs struggle to generate truthful hypotheses. By analyzing hallucinations in reasoning steps, we demonstrate that the groundedness scores provided by KnowHD serve as an effective metric for filtering truthful hypotheses from the diverse outputs of LLMs. Human evaluations further validate the utility of KnowHD in identifying truthful hypotheses and accelerating scientific discovery. Our data and source code are available at https://github.com/Teddy-XiongGZ/TruthHypo.

Hallucination, where models generate fluent text unsupported by visual evidence, remains a major flaw in vision-language models and is particularly critical in sign language translation (SLT). In SLT, meaning depends on precise grounding in video, and gloss-free models are especially vulnerable because they map continuous signer movements directly into natural language without intermediate gloss supervision that serves as alignment. We argue that hallucinations arise when models rely on language priors rather than visual input. To capture this, we propose a token-level reliability measure that quantifies how much the decoder uses visual information. Our method combines feature-based sensitivity, which measures internal changes when video is masked, with counterfactual signals, which capture probability differences between clean and altered video inputs. These signals are aggregated into a sentence-level reliability score, providing a compact and interpretable measure of visual grounding. We evaluate the proposed measure on two SLT benchmarks (PHOENIX-2014T and CSL-Daily) with both gloss-based and gloss-free models. Our results show that reliability predicts hallucination rates, generalizes across datasets and architectures, and decreases under visual degradations. Beyond these quantitative trends, we also find that reliability distinguishes grounded tokens from guessed ones, allowing risk estimation without references; when combined with text-based signals (confidence, perplexity, or entropy), it further improves hallucination risk estimation. Qualitative analysis highlights why gloss-free models are more susceptible to hallucinations. Taken together, our findings establish reliability as a practical and reusable tool for diagnosing hallucinations in SLT, and lay the groundwork for more robust hallucination detection in multimodal generation.

Large Language Models (LLMs) have made significant advancements in the field of code generation, offering unprecedented support for automated programming and assisting developers. However, LLMs sometimes generate code that appears plausible but fails to meet the expected requirements or executes incorrectly. This phenomenon of hallucinations in the coding field has not been explored. To advance the community's understanding and research on code hallucinations in LLMs, we propose a definition method for these hallucinations based on execution verification and introduce the concept of code hallucinations for the first time. We categorize code hallucinations into four main types: mapping, naming, resource, and logic hallucinations, each further divided into different subcategories to better understand and address the unique challenges faced by LLMs during code generation. To systematically evaluate code hallucinations, we propose a dynamic detection algorithm for code hallucinations and construct the CodeHalu benchmark, which includes 8,883 samples from 699 tasks, to actively detect hallucination phenomena in LLMs during programming. We tested 16 popular LLMs on this benchmark to evaluate the frequency and nature of their hallucinations during code generation. The findings reveal significant variations in the accuracy and reliability of LLMs in generating code, highlighting the urgent need to improve models and training methods to ensure the functional correctness and safety of automatically generated code. This study not only classifies and quantifies code hallucinations but also provides insights for future improvements in LLM-based code generation research. The CodeHalu benchmark and code are publicly available at https://github.com/yuchen814/CodeHalu.

We introduce FAITHSCORE (Faithfulness to Atomic Image Facts Score), a reference-free and fine-grained evaluation metric that measures the faithfulness of the generated free-form answers from large vision-language models (LVLMs). The FAITHSCORE evaluation first identifies sub-sentences containing descriptive statements that need to be verified, then extracts a comprehensive list of atomic facts from these sub-sentences, and finally conducts consistency verification between fine-grained atomic facts and the input image. Meta-evaluation demonstrates that our metric highly correlates with human judgments of faithfulness. We collect two benchmark datasets (i.e. LLaVA-1k and MSCOCO-Cap) for evaluating LVLMs instruction-following hallucinations. We measure hallucinations in state-of-the-art LVLMs with FAITHSCORE on the datasets. Results reveal that current systems are prone to generate hallucinated content unfaithful to the image, which leaves room for future improvements. Further, we find that current LVLMs despite doing well on color and counting, still struggle with long answers, relations, and multiple objects.

Despite their impressive ability to generate high-quality and fluent text, generative large language models (LLMs) also produce hallucinations: statements that are misaligned with established world knowledge or provided input context. However, measuring hallucination can be challenging, as having humans verify model generations on-the-fly is both expensive and time-consuming. In this work, we release HALoGEN, a comprehensive hallucination benchmark consisting of: (1) 10,923 prompts for generative models spanning nine domains including programming, scientific attribution, and summarization, and (2) automatic high-precision verifiers for each use case that decompose LLM generations into atomic units, and verify each unit against a high-quality knowledge source. We use this framework to evaluate ~150,000 generations from 14 language models, finding that even the best-performing models are riddled with hallucinations (sometimes up to 86% of generated atomic facts depending on the domain). We further define a novel error classification for LLM hallucinations based on whether they likely stem from incorrect recollection of training data (Type A errors), or incorrect knowledge in training data (Type B errors), or are fabrication (Type C errors). We hope our framework provides a foundation to enable the principled study of why generative models hallucinate, and advances the development of trustworthy large language models.

Although the problem of hallucinations in neural machine translation (NMT) has received some attention, research on this highly pathological phenomenon lacks solid ground. Previous work has been limited in several ways: it often resorts to artificial settings where the problem is amplified, it disregards some (common) types of hallucinations, and it does not validate adequacy of detection heuristics. In this paper, we set foundations for the study of NMT hallucinations. First, we work in a natural setting, i.e., in-domain data without artificial noise neither in training nor in inference. Next, we annotate a dataset of over 3.4k sentences indicating different kinds of critical errors and hallucinations. Then, we turn to detection methods and both revisit methods used previously and propose using glass-box uncertainty-based detectors. Overall, we show that for preventive settings, (i) previously used methods are largely inadequate, (ii) sequence log-probability works best and performs on par with reference-based methods. Finally, we propose DeHallucinator, a simple method for alleviating hallucinations at test time that significantly reduces the hallucinatory rate. To ease future research, we release our annotated dataset for WMT18 German-English data, along with the model, training data, and code.

Medical Image Quality Assessment (IQA) serves as the first-mile safety gate for clinical AI, yet existing approaches remain constrained by scalar, score-based metrics and fail to reflect the descriptive, human-like reasoning process central to expert evaluation. To address this gap, we introduce MedQ-Bench, a comprehensive benchmark that establishes a perception-reasoning paradigm for language-based evaluation of medical image quality with Multi-modal Large Language Models (MLLMs). MedQ-Bench defines two complementary tasks: (1) MedQ-Perception, which probes low-level perceptual capability via human-curated questions on fundamental visual attributes; and (2) MedQ-Reasoning, encompassing both no-reference and comparison reasoning tasks, aligning model evaluation with human-like reasoning on image quality. The benchmark spans five imaging modalities and over forty quality attributes, totaling 2,600 perceptual queries and 708 reasoning assessments, covering diverse image sources including authentic clinical acquisitions, images with simulated degradations via physics-based reconstructions, and AI-generated images. To evaluate reasoning ability, we propose a multi-dimensional judging protocol that assesses model outputs along four complementary axes. We further conduct rigorous human-AI alignment validation by comparing LLM-based judgement with radiologists. Our evaluation of 14 state-of-the-art MLLMs demonstrates that models exhibit preliminary but unstable perceptual and reasoning skills, with insufficient accuracy for reliable clinical use. These findings highlight the need for targeted optimization of MLLMs in medical IQA. We hope that MedQ-Bench will catalyze further exploration and unlock the untapped potential of MLLMs for medical image quality evaluation.

Background: Emerging reports of "AI psychosis" are on the rise, where user-LLM interactions may exacerbate or induce psychosis or adverse psychological symptoms. Whilst the sycophantic and agreeable nature of LLMs can be beneficial, it becomes a vector for harm by reinforcing delusional beliefs in vulnerable users. Methods: Psychosis-bench is a novel benchmark designed to systematically evaluate the psychogenicity of LLMs comprises 16 structured, 12-turn conversational scenarios simulating the progression of delusional themes(Erotic Delusions, Grandiose/Messianic Delusions, Referential Delusions) and potential harms. We evaluated eight prominent LLMs for Delusion Confirmation (DCS), Harm Enablement (HES), and Safety Intervention(SIS) across explicit and implicit conversational contexts. Findings: Across 1,536 simulated conversation turns, all LLMs demonstrated psychogenic potential, showing a strong tendency to perpetuate rather than challenge delusions (mean DCS of 0.91 pm0.88). Models frequently enabled harmful user requests (mean HES of 0.69 pm0.84) and offered safety interventions in only roughly a third of applicable turns (mean SIS of 0.37 pm0.48). 51 / 128 (39.8%) of scenarios had no safety interventions offered. Performance was significantly worse in implicit scenarios, models were more likely to confirm delusions and enable harm while offering fewer interventions (p < .001). A strong correlation was found between DCS and HES (rs = .77). Model performance varied widely, indicating that safety is not an emergent property of scale alone. Conclusion: This study establishes LLM psychogenicity as a quantifiable risk and underscores the urgent need for re-thinking how we train LLMs. We frame this issue not merely as a technical challenge but as a public health imperative requiring collaboration between developers, policymakers, and healthcare professionals.

Multimodal Large Language Models (MLLMs) have demonstrated proficiency in handling a variety of visual-language tasks. However, current MLLM benchmarks are predominantly designed to evaluate reasoning based on static information about a single image, and the ability of modern MLLMs to extrapolate from image sequences, which is essential for understanding our ever-changing world, has been less investigated. To address this challenge, this paper introduces Mementos, a new benchmark designed to assess MLLMs' sequential image reasoning abilities. Mementos features 4,761 diverse image sequences with varying lengths. We also employ a GPT-4 assisted method to evaluate MLLM reasoning performance. Through a careful evaluation of nine recent MLLMs on Mementos, including GPT-4V and Gemini, we find that they struggle to accurately describe dynamic information about given image sequences, often leading to hallucinations/misrepresentations of objects and their corresponding behaviors. Our quantitative analysis and case studies identify three key factors impacting MLLMs' sequential image reasoning: the correlation between object and behavioral hallucinations, the influence of cooccurring behaviors, and the compounding impact of behavioral hallucinations. Our dataset is available at https://github.com/umd-huang-lab/Mementos.

Recent advancements in large multimodal models (LMMs) have significantly enhanced performance across diverse tasks, with ongoing efforts to further integrate additional modalities such as video and audio. However, most existing LMMs remain vulnerable to hallucinations, the discrepancy between the factual multimodal input and the generated textual output, which has limited their applicability in various real-world scenarios. This paper presents the first systematic investigation of hallucinations in LMMs involving the three most common modalities: language, visual, and audio. Our study reveals two key contributors to hallucinations: overreliance on unimodal priors and spurious inter-modality correlations. To address these challenges, we introduce the benchmark The Curse of Multi-Modalities (CMM), which comprehensively evaluates hallucinations in LMMs, providing a detailed analysis of their underlying issues. Our findings highlight key vulnerabilities, including imbalances in modality integration and biases from training data, underscoring the need for balanced cross-modal learning and enhanced hallucination mitigation strategies. Based on our observations and findings, we suggest potential research directions that could enhance the reliability of LMMs.

Existing medical reasoning benchmarks for vision-language models primarily focus on analyzing a patient's condition based on an image from a single visit. However, this setting deviates significantly from real-world clinical practice, where doctors typically refer to a patient's historical conditions to provide a comprehensive assessment by tracking their changes over time. In this paper, we introduce TemMed-Bench, the first benchmark designed for analyzing changes in patients' conditions between different clinical visits, which challenges large vision-language models (LVLMs) to reason over temporal medical images. TemMed-Bench consists of a test set comprising three tasks - visual question-answering (VQA), report generation, and image-pair selection - and a supplementary knowledge corpus of over 17,000 instances. With TemMed-Bench, we conduct an evaluation of six proprietary and six open-source LVLMs. Our results show that most LVLMs lack the ability to analyze patients' condition changes over temporal medical images, and a large proportion perform only at a random-guessing level in the closed-book setting. In contrast, GPT o3, o4-mini and Claude 3.5 Sonnet demonstrate comparatively decent performance, though they have yet to reach the desired level. Furthermore, we explore augmenting the input with both retrieved visual and textual modalities in the medical domain. We also show that multi-modal retrieval augmentation yields notably higher performance gains than no retrieval and textual retrieval alone across most models on our benchmark, with the VQA task showing an average improvement of 2.59%. Overall, we compose a benchmark grounded on real-world clinical practice, and it reveals LVLMs' limitations in temporal medical image reasoning, as well as highlighting the use of multi-modal retrieval augmentation as a potentially promising direction worth exploring to address this challenge.

Large language models (LLMs) have shown promise for generative and knowledge-intensive tasks including question-answering (QA) tasks. However, the practical deployment still faces challenges, notably the issue of "hallucination", where models generate plausible-sounding but unfaithful or nonsensical information. This issue becomes particularly critical in the medical domain due to the uncommon professional concepts and potential social risks involved. This paper analyses the phenomenon of hallucination in medical generative QA systems using widely adopted LLMs and datasets. Our investigation centers on the identification and comprehension of common problematic answers, with a specific emphasis on hallucination. To tackle this challenge, we present an interactive self-reflection methodology that incorporates knowledge acquisition and answer generation. Through this feedback process, our approach steadily enhances the factuality, consistency, and entailment of the generated answers. Consequently, we harness the interactivity and multitasking ability of LLMs and produce progressively more precise and accurate answers. Experimental results on both automatic and human evaluation demonstrate the superiority of our approach in hallucination reduction compared to baselines.

As large language models (LLMs) become increasingly deployed across various industries, concerns regarding their reliability, particularly due to hallucinations-outputs that are factually inaccurate or irrelevant to user input-have grown. Our research investigates the relationship between the training process and the emergence of hallucinations to address a key gap in existing research that focuses primarily on post hoc detection and mitigation strategies. Using models from the Pythia suite (70M-12B parameters) and several hallucination detection metrics, we analyze hallucination trends throughout training and explore LLM internal dynamics. We introduce SEnsitive Neuron Dropout (SeND), a novel training protocol designed to mitigate hallucinations by reducing variance during training. SeND achieves this by deterministically dropping neurons with significant variability on a dataset, referred to as Sensitive Neurons. In addition, we develop an unsupervised hallucination detection metric, Efficient EigenScore (EES), which approximates the traditional EigenScore in 2x speed. This efficient metric is integrated into our protocol, allowing SeND to be both computationally scalable and effective at reducing hallucinations. Our empirical evaluation demonstrates that our approach improves LLM reliability at test time by up to 40% compared to normal training while also providing an efficient method to improve factual accuracy when adapting LLMs to domains such as Wikipedia and Medical datasets.

The collaborative paradigm of large and small language models (LMs) effectively balances performance and cost, yet its pivotal challenge lies in precisely pinpointing the moment of invocation when hallucinations arise in small LMs. Previous optimization efforts primarily focused on post-processing techniques, which were separate from the reasoning process of LMs, resulting in high computational costs and limited effectiveness. In this paper, we propose a practical invocation evaluation metric called AttenHScore, which calculates the accumulation and propagation of hallucinations during the generation process of small LMs, continuously amplifying potential reasoning errors. By dynamically adjusting the detection threshold, we achieve more accurate real-time invocation of large LMs. Additionally, considering the limited reasoning capacity of small LMs, we leverage uncertainty-aware knowledge reorganization to assist them better capture critical information from different text chunks. Extensive experiments reveal that our AttenHScore outperforms most baseline in enhancing real-time hallucination detection capabilities across multiple QA datasets, especially when addressing complex queries. Moreover, our strategies eliminate the need for additional model training and display flexibility in adapting to various transformer-based LMs.

Prior research works have evaluated quantized LLMs using limited metrics such as perplexity or a few basic knowledge tasks and old datasets. Additionally, recent large-scale models such as Llama 3.1 with up to 405B have not been thoroughly examined. This paper evaluates the performance of instruction-tuned LLMs across various quantization methods (GPTQ, AWQ, SmoothQuant, and FP8) on models ranging from 7B to 405B. Using 13 benchmarks, we assess performance across six task types: commonsense Q\&A, knowledge and language understanding, instruction following, hallucination detection, mathematics, and dialogue. Our key findings reveal that (1) quantizing a larger LLM to a similar size as a smaller FP16 LLM generally performs better across most benchmarks, except for hallucination detection and instruction following; (2) performance varies significantly with different quantization methods, model size, and bit-width, with weight-only methods often yielding better results in larger models; (3) task difficulty does not significantly impact accuracy degradation due to quantization; and (4) the MT-Bench evaluation method has limited discriminatory power among recent high-performing LLMs.

Despite their vast capabilities, Large Language Models (LLMs) often struggle with generating reliable outputs, frequently producing high-confidence inaccuracies known as hallucinations. Addressing this challenge, our research introduces InternalInspector, a novel framework designed to enhance confidence estimation in LLMs by leveraging contrastive learning on internal states including attention states, feed-forward states, and activation states of all layers. Unlike existing methods that primarily focus on the final activation state, InternalInspector conducts a comprehensive analysis across all internal states of every layer to accurately identify both correct and incorrect prediction processes. By benchmarking InternalInspector against existing confidence estimation methods across various natural language understanding and generation tasks, including factual question answering, commonsense reasoning, and reading comprehension, InternalInspector achieves significantly higher accuracy in aligning the estimated confidence scores with the correctness of the LLM's predictions and lower calibration error. Furthermore, InternalInspector excels at HaluEval, a hallucination detection benchmark, outperforming other internal-based confidence estimation methods in this task.

Visually-guided image editing, where edits are conditioned on both visual cues and textual prompts, has emerged as a powerful paradigm for fine-grained, controllable content generation. Although recent generative models have shown remarkable capabilities, existing evaluations remain simple and insufficiently representative of real-world editing challenges. We present SpotEdit, a comprehensive benchmark designed to systematically assess visually-guided image editing methods across diverse diffusion, autoregressive, and hybrid generative models, uncovering substantial performance disparities. To address a critical yet underexplored challenge, our benchmark includes a dedicated component on hallucination, highlighting how leading models, such as GPT-4o, often hallucinate the existence of a visual cue and erroneously perform the editing task. Our code and benchmark are publicly released at https://github.com/SaraGhazanfari/SpotEdit.

We introduce SimpleQA Verified, a 1,000-prompt benchmark for evaluating Large Language Model (LLM) short-form factuality based on OpenAI's SimpleQA. It addresses critical limitations in OpenAI's benchmark, including noisy and incorrect labels, topical biases, and question redundancy. SimpleQA Verified was created through a rigorous multi-stage filtering process involving de-duplication, topic balancing, and source reconciliation to produce a more reliable and challenging evaluation set, alongside improvements in the autorater prompt. On this new benchmark, Gemini 2.5 Pro achieves a state-of-the-art F1-score of 55.6, outperforming other frontier models, including GPT-5. This work provides the research community with a higher-fidelity tool to track genuine progress in parametric model factuality and to mitigate hallucinations. The benchmark dataset, evaluation code, and leaderboard are available at: https://www.kaggle.com/benchmarks/deepmind/simpleqa-verified.

Hallucination continues to be one of the most critical challenges in the institutional adoption journey of Large Language Models (LLMs). While prior studies have primarily focused on the post-generation analysis and refinement of outputs, this paper centers on the effectiveness of queries in eliciting accurate responses from LLMs. We present HalluciBot, a model that estimates the query's propensity to hallucinate before generation, without invoking any LLMs during inference. HalluciBot can serve as a proxy reward model for query rewriting, offering a general framework to estimate query quality based on accuracy and consensus. In essence, HalluciBot investigates how poorly constructed queries can lead to erroneous outputs - moreover, by employing query rewriting guided by HalluciBot's empirical estimates, we demonstrate that 95.7% output accuracy can be achieved for Multiple Choice questions. The training procedure for HalluciBot consists of perturbing 369,837 queries n times, employing n+1 independent LLM agents, sampling an output from each query, conducting a Multi-Agent Monte Carlo simulation on the sampled outputs, and training an encoder classifier. The idea of perturbation is the outcome of our ablation studies that measures the increase in output diversity (+12.5 agreement spread) by perturbing a query in lexically different but semantically similar ways. Therefore, HalluciBot paves the way to ratiocinate (76.0% test F1 score, 46.6% in saved computation on hallucinatory queries), rewrite (+30.2% positive class transition from hallucinatory to non-hallucinatory), rank (+50.6% positive class transition from hallucinatory to non-hallucinatory), and route queries to effective pipelines.

Common evaluation paradigms for language models focus on scoring single responses through accuracy metrics or proper scoring rules, failing to capture the full richness of a model's belief state. Recent work illustrates that language models hallucinate in-part because they are optimised to be good test-takers under binary scoring schemes that reward any answer over abstention. While this insight naturally leads to penalty-based approaches, they ignore crucial distinctions in how models distribute uncertainty, for example between hedging toward incorrect answers versus hedging toward "I don't know" responses. A novel evaluation metric, the Distributional Correctness Score (DCS), is introduced to solve this problem, i.e., of not considering a model's entire probability distribution over answer choices. DCS naturally distinguishes between harmful overconfidence in wrong answers and uncertainty expressed through abstention, providing scores in an interpretable default range. Through theoretical analysis and illustrative examples, DCS is demonstrated to offer a more nuanced and aligned evaluation paradigm that incentivises models to express genuine uncertainty rather than guessing. Adapting 12 existing evaluation benchmarks to DCS's variants and measuring performance on six language models reveals that for half of the tested benchmarks scores are negative across all tested models, indicating significant tendencies towards hallucination.

Reducing the `hallucination' problem of Large Language Models (LLMs) is crucial for their wide applications. A comprehensive and fine-grained measurement of the hallucination is the first key step for the governance of this issue but is under-explored in the community. Thus, we present ANAH, a bilingual dataset that offers ANalytical Annotation of Hallucinations in LLMs within Generative Question Answering. Each answer sentence in our dataset undergoes rigorous annotation, involving the retrieval of a reference fragment, the judgment of the hallucination type, and the correction of hallucinated content. ANAH consists of ~12k sentence-level annotations for ~4.3k LLM responses covering over 700 topics, constructed by a human-in-the-loop pipeline. Thanks to the fine granularity of the hallucination annotations, we can quantitatively confirm that the hallucinations of LLMs progressively accumulate in the answer and use ANAH to train and evaluate hallucination annotators. We conduct extensive experiments on studying generative and discriminative annotators and show that, although current open-source LLMs have difficulties in fine-grained hallucination annotation, the generative annotator trained with ANAH can surpass all open-source LLMs and GPT-3.5, obtain performance competitive with GPT-4, and exhibits better generalization ability on unseen questions.

Robust benchmarks are crucial for evaluating Multimodal Large Language Models (MLLMs). Yet we find that models can ace many multimodal benchmarks without strong visual understanding, instead exploiting biases, linguistic priors, and superficial patterns. This is especially problematic for vision-centric benchmarks that are meant to require visual inputs. We adopt a diagnostic principle for benchmark design: if a benchmark can be gamed, it will be. Designers should therefore try to ``game'' their own benchmarks first, using diagnostic and debiasing procedures to systematically identify and mitigate non-visual biases. Effective diagnosis requires directly ``training on the test set'' -- probing the released test set for its intrinsic, exploitable patterns. We operationalize this standard with two components. First, we diagnose benchmark susceptibility using a ``Test-set Stress-Test'' (TsT) methodology. Our primary diagnostic tool involves fine-tuning a powerful Large Language Model via k-fold cross-validation on exclusively the non-visual, textual inputs of the test set to reveal shortcut performance and assign each sample a bias score s(x). We complement this with a lightweight Random Forest-based diagnostic operating on hand-crafted features for fast, interpretable auditing. Second, we debias benchmarks by filtering high-bias samples using an ``Iterative Bias Pruning'' (IBP) procedure. Applying this framework to four benchmarks -- VSI-Bench, CV-Bench, MMMU, and VideoMME -- we uncover pervasive non-visual biases. As a case study, we apply our full framework to create VSI-Bench-Debiased, demonstrating reduced non-visual solvability and a wider vision-blind performance gap than the original.

Recent advancements in multimodal large language models have enhanced document understanding by integrating textual and visual information. However, existing models exhibit incompleteness within their paradigm in real-world scenarios, particularly under visual degradation. In such conditions, the current response paradigm often fails to adequately perceive visual degradation and ambiguity, leading to overreliance on linguistic priors or misaligned visual-textual reasoning. This difficulty in recognizing uncertainty frequently results in the generation of hallucinatory content, especially when a precise answer is not feasible. To better demonstrate and analyze this phenomenon and problem, we propose KIE-HVQA, the first benchmark dedicated to evaluating OCR hallucination in degraded document understanding. This dataset includes test samples spanning identity cards and invoices, with simulated real-world degradations for OCR reliability. This setup allows for evaluating models' capacity, under degraded input, to distinguish reliable visual information and answer accordingly, thereby highlighting the challenge of avoiding hallucination on uncertain data. To achieve vision-faithful reasoning and thereby avoid the aforementioned issues, we further introduce a GRPO-based framework featuring a novel reward mechanism. By incorporating a self-awareness of visual uncertainty and an analysis method that initiates refusal to answer to increase task difficulty within our supervised fine-tuning and reinforcement learning framework, we successfully mitigated hallucinations in ambiguous regions. Experiments on Qwen2.5-VL demonstrate that our 7B-parameter model achieves a 22\% absolute improvement in hallucination-free accuracy over GPT-4o on KIE-HVQA and there is no significant performance drop in standard tasks, highlighting both effectiveness and robustness.

Methods to evaluate Large Language Model (LLM) responses and detect inconsistencies, also known as hallucinations, with respect to the provided knowledge, are becoming increasingly important for LLM applications. Current metrics fall short in their ability to provide explainable decisions, systematically check all pieces of information in the response, and are often too computationally expensive to be used in practice. We present GraphEval: a hallucination evaluation framework based on representing information in Knowledge Graph (KG) structures. Our method identifies the specific triples in the KG that are prone to hallucinations and hence provides more insight into where in the response a hallucination has occurred, if at all, than previous methods. Furthermore, using our approach in conjunction with state-of-the-art natural language inference (NLI) models leads to an improvement in balanced accuracy on various hallucination benchmarks, compared to using the raw NLI models. Lastly, we explore the use of GraphEval for hallucination correction by leveraging the structure of the KG, a method we name GraphCorrect, and demonstrate that the majority of hallucinations can indeed be rectified.

Hallucination has emerged as a significant barrier to the effective application of Large Language Models (LLMs). In this work, we introduce a novel Attention-Guided SElf-Reflection (AGSER) approach for zero-shot hallucination detection in LLMs. The AGSER method utilizes attention contributions to categorize the input query into attentive and non-attentive queries. Each query is then processed separately through the LLMs, allowing us to compute consistency scores between the generated responses and the original answer. The difference between the two consistency scores serves as a hallucination estimator. In addition to its efficacy in detecting hallucinations, AGSER notably reduces computational overhead, requiring only three passes through the LLM and utilizing two sets of tokens. We have conducted extensive experiments with four widely-used LLMs across three different hallucination benchmarks, demonstrating that our approach significantly outperforms existing methods in zero-shot hallucination detection.

Retrieval Augmented Generation (RAG) techniques aim to mitigate hallucinations in Large Language Models (LLMs). However, LLMs can still produce information that is unsupported or contradictory to the retrieved contexts. We introduce LYNX, a SOTA hallucination detection LLM that is capable of advanced reasoning on challenging real-world hallucination scenarios. To evaluate LYNX, we present HaluBench, a comprehensive hallucination evaluation benchmark, consisting of 15k samples sourced from various real-world domains. Our experiment results show that LYNX outperforms GPT-4o, Claude-3-Sonnet, and closed and open-source LLM-as-a-judge models on HaluBench. We release LYNX, HaluBench and our evaluation code for public access.

Large Language Models (LLMs) excel in many NLP tasks but remain prone to hallucinations, limiting trust in real-world applications. We present HalluGuard, a 4B-parameter Small Reasoning Model (SRM) for mitigating hallucinations in Retrieval-Augmented Generation (RAG). HalluGuard classifies document-claim pairs as grounded or hallucinated and produces evidence-grounded justifications for transparency. Our approach combines (i) a domain-agnostic synthetic dataset derived from FineWeb and refined through multi-stage curation and data reformation, (ii) synthetic grounded and hallucinated claims, and (iii) preference-based fine-tuning with Odds Ratio Preference Optimization to distill large-model reasoning into a smaller backbone. On the RAGTruth subset of the LLM-AggreFact benchmark, HalluGuard achieves 84.0% balanced accuracy (BAcc), rivaling specialized models, MiniCheck (7B; 84.0%) and Granite Guardian 3.3 (8B; 82.2%) while using roughly half their parameters. Over the full benchmark it reaches 75.7% BAcc, matching larger general-purpose LLMs such as GPT-4o (75.9%). We will release HalluGuard and datasets under Apache 2.0 upon acceptance.

Recent advancements have seen Large Language Models (LLMs) and Large Multimodal Models (LMMs) surpassing general human capabilities in various tasks, approaching the proficiency level of human experts across multiple domains. With traditional benchmarks becoming less challenging for these models, new rigorous challenges are essential to gauge their advanced abilities. In this work, we present OlympiadBench, an Olympiad-level bilingual multimodal scientific benchmark, featuring 8,476 problems from Olympiad-level mathematics and physics competitions, including the Chinese college entrance exam. Each problem is detailed with expert-level annotations for step-by-step reasoning. Evaluating top-tier models on OlympiadBench, we implement a comprehensive assessment methodology to accurately evaluate model responses. Notably, the best-performing model, GPT-4V, attains an average score of 17.97% on OlympiadBench, with a mere 10.74% in physics, highlighting the benchmark rigor and the intricacy of physical reasoning. Our analysis orienting GPT-4V points out prevalent issues with hallucinations, knowledge omissions, and logical fallacies. We hope that our challenging benchmark can serve as a valuable resource for helping future AGI research endeavors. The data and evaluation code are available at https://github.com/OpenBMB/OlympiadBench

The remarkable capabilities of large language models (LLMs) in language understanding and generation have not rendered them immune to hallucinations. LLMs can still generate plausible-sounding but factually incorrect or fabricated information. As LLM-empowered chatbots become popular, laypeople may frequently ask health-related queries and risk falling victim to these LLM hallucinations, resulting in various societal and healthcare implications. In this work, we conduct a pioneering study of hallucinations in LLM-generated responses to real-world healthcare queries from patients. We propose MedHalu, a carefully crafted first-of-its-kind medical hallucination dataset with a diverse range of health-related topics and the corresponding hallucinated responses from LLMs with labeled hallucination types and hallucinated text spans. We also introduce MedHaluDetect framework to evaluate capabilities of various LLMs in detecting hallucinations. We also employ three groups of evaluators -- medical experts, LLMs, and laypeople -- to study who are more vulnerable to these medical hallucinations. We find that LLMs are much worse than the experts. They also perform no better than laypeople and even worse in few cases in detecting hallucinations. To fill this gap, we propose expert-in-the-loop approach to improve hallucination detection through LLMs by infusing expert reasoning. We observe significant performance gains for all the LLMs with an average macro-F1 improvement of 6.3 percentage points for GPT-4.

This survey presents a comprehensive analysis of the phenomenon of hallucination in multimodal large language models (MLLMs), also known as Large Vision-Language Models (LVLMs), which have demonstrated significant advancements and remarkable abilities in multimodal tasks. Despite these promising developments, MLLMs often generate outputs that are inconsistent with the visual content, a challenge known as hallucination, which poses substantial obstacles to their practical deployment and raises concerns regarding their reliability in real-world applications. This problem has attracted increasing attention, prompting efforts to detect and mitigate such inaccuracies. We review recent advances in identifying, evaluating, and mitigating these hallucinations, offering a detailed overview of the underlying causes, evaluation benchmarks, metrics, and strategies developed to address this issue. Additionally, we analyze the current challenges and limitations, formulating open questions that delineate potential pathways for future research. By drawing the granular classification and landscapes of hallucination causes, evaluation benchmarks, and mitigation methods, this survey aims to deepen the understanding of hallucinations in MLLMs and inspire further advancements in the field. Through our thorough and in-depth review, we contribute to the ongoing dialogue on enhancing the robustness and reliability of MLLMs, providing valuable insights and resources for researchers and practitioners alike. Resources are available at: https://github.com/showlab/Awesome-MLLM-Hallucination.

As multimodal large language models (MLLMs) advance rapidly, rigorous evaluation has become essential, providing further guidance for their development. In this work, we focus on a unified and robust evaluation of vision perception abilities, the foundational skill of MLLMs. We find that existing perception benchmarks, each focusing on different question types, domains, and evaluation metrics, introduce significant evaluation variance, complicating comprehensive assessments of perception abilities when relying on any single benchmark. To address this, we introduce AbilityLens, a unified benchmark designed to evaluate MLLMs across six key perception abilities, focusing on both accuracy and stability, with each ability encompassing diverse question types, domains, and metrics. With the assistance of AbilityLens, we: (1) identify the strengths and weaknesses of current models, highlighting stability patterns and revealing a notable performance gap between open-source and closed-source models; (2) introduce an online evaluation mode, which uncovers interesting ability conflict and early convergence phenomena during MLLM training; and (3) design a simple ability-specific model merging method that combines the best ability checkpoint from early training stages, effectively mitigating performance decline due to ability conflict. The benchmark and online leaderboard will be released soon.

Detecting hallucinations in large language models (LLMs) is critical for enhancing their reliability and trustworthiness. Most research focuses on hallucinations as deviations from information seen during training. However, the opaque nature of an LLM's parametric knowledge complicates the understanding of why generated texts appear ungrounded: The LLM might not have picked up the necessary knowledge from large and often inaccessible datasets, or the information might have been changed or contradicted during further training. Our focus is on hallucinations involving information not used in training, which we determine by using recency to ensure the information emerged after a cut-off date. This study investigates these hallucinations by detecting them at sentence level using different internal states of various LLMs. We present HalluRAG, a dataset designed to train classifiers on these hallucinations. Depending on the model and quantization, MLPs trained on HalluRAG detect hallucinations with test accuracies ranging up to 75 %, with Mistral-7B-Instruct-v0.1 achieving the highest test accuracies. Our results show that IAVs detect hallucinations as effectively as CEVs and reveal that answerable and unanswerable prompts are encoded differently as separate classifiers for these categories improved accuracy. However, HalluRAG showed some limited generalizability, advocating for more diversity in datasets on hallucinations.

Recent advances in large language models (LLMs) have demonstrated notable performance in medical licensing exams. However, comprehensive evaluation of LLMs across various healthcare roles, particularly in high-stakes clinical scenarios, remains a challenge. Existing benchmarks are typically text-based, English-centric, and focus primarily on medicines, which limits their ability to assess broader healthcare knowledge and multimodal reasoning. To address these gaps, we introduce KokushiMD-10, the first multimodal benchmark constructed from ten Japanese national healthcare licensing exams. This benchmark spans multiple fields, including Medicine, Dentistry, Nursing, Pharmacy, and allied health professions. It contains over 11588 real exam questions, incorporating clinical images and expert-annotated rationales to evaluate both textual and visual reasoning. We benchmark over 30 state-of-the-art LLMs, including GPT-4o, Claude 3.5, and Gemini, across both text and image-based settings. Despite promising results, no model consistently meets passing thresholds across domains, highlighting the ongoing challenges in medical AI. KokushiMD-10 provides a comprehensive and linguistically grounded resource for evaluating and advancing reasoning-centric medical AI across multilingual and multimodal clinical tasks.

Despite making significant progress in multi-modal tasks, current Multi-modal Large Language Models (MLLMs) encounter the significant challenge of hallucinations, which may lead to harmful consequences. Therefore, evaluating MLLMs' hallucinations is becoming increasingly important in model improvement and practical application deployment. Previous works are limited in high evaluation costs (e.g., relying on humans or advanced LLMs) and insufficient evaluation dimensions (e.g., types of tasks and hallucinations). In this paper, we propose an LLM-free multi-dimensional benchmark AMBER, which can be used to evaluate both generative task and discriminative task including existence, attribute and relation hallucination. Based on AMBER, we design a low-cost and efficient evaluation pipeline. Additionally, we conduct a comprehensive evaluation and detailed analysis of mainstream MLLMs including GPT-4V(ision), and also give guideline suggestions for mitigating hallucinations. The data and code of AMBER are available at https://github.com/junyangwang0410/AMBER.

Visual grounding is essential for precise perception and reasoning in multimodal large language models (MLLMs), especially in medical imaging domains. While existing medical visual grounding benchmarks primarily focus on single-image scenarios, real-world clinical applications often involve sequential images, where accurate lesion localization across different modalities and temporal tracking of disease progression (e.g., pre- vs. post-treatment comparison) require fine-grained cross-image semantic alignment and context-aware reasoning. To remedy the underrepresentation of image sequences in existing medical visual grounding benchmarks, we propose MedSG-Bench, the first benchmark tailored for Medical Image Sequences Grounding. It comprises eight VQA-style tasks, formulated into two paradigms of the grounding tasks, including 1) Image Difference Grounding, which focuses on detecting change regions across images, and 2) Image Consistency Grounding, which emphasizes detection of consistent or shared semantics across sequential images. MedSG-Bench covers 76 public datasets, 10 medical imaging modalities, and a wide spectrum of anatomical structures and diseases, totaling 9,630 question-answer pairs. We benchmark both general-purpose MLLMs (e.g., Qwen2.5-VL) and medical-domain specialized MLLMs (e.g., HuatuoGPT-vision), observing that even the advanced models exhibit substantial limitations in medical sequential grounding tasks. To advance this field, we construct MedSG-188K, a large-scale instruction-tuning dataset tailored for sequential visual grounding, and further develop MedSeq-Grounder, an MLLM designed to facilitate future research on fine-grained understanding across medical sequential images. The benchmark, dataset, and model are available at https://huggingface.co/MedSG-Bench