Mistral Large 4 scores 94% on 1,273 USMLE-style questions but flips 44 at temp 0

MaziyarPanahi · x · 2026-10-31

Maziyar Panahi ran 1,273 USMLE-style medical exam questions through Mistral Large 4 via API (same prompt, temperature 0) across 3 runs: 1,183 right every time, 40 partially consistent, 50 wrong every run — and 46 of those 50 repeat the same wrong answer each run. He asks doctors what evidence they'd need before letting such a model assist with patients. Follow-up: even at temperature 0, the model changed its answer on 44 questions between runs.

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