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base_model:
  - google/medgemma-27b-text-it
  - google/gemma-3-27b-it

This is google/medgemma-27b-text-it with the vision tower and embeddings of google/gemma-3-27b-it attached to restore multimodality.

I do not expect the vision function to work with the med data to the same degree as the multimodal 4B medgemma. It has not been trained beyond the instruct model.