Instructions to use Mediform/gemma4 with libraries, inference providers, notebooks, and local apps. Follow these links to get started.
- Libraries
- llama-cpp-python
How to use Mediform/gemma4 with llama-cpp-python:
# !pip install llama-cpp-python from llama_cpp import Llama llm = Llama.from_pretrained( repo_id="Mediform/gemma4", filename="gemma4-e4b-v3-Q4_K_M.gguf", )
llm.create_chat_completion( messages = "No input example has been defined for this model task." )
- Notebooks
- Google Colab
- Kaggle
- Local Apps Settings
- llama.cpp
How to use Mediform/gemma4 with llama.cpp:
Install from brew
brew install llama.cpp # Start a local OpenAI-compatible server with a web UI: llama-server -hf Mediform/gemma4:Q4_K_M # Run inference directly in the terminal: llama-cli -hf Mediform/gemma4:Q4_K_M
Install from WinGet (Windows)
winget install llama.cpp # Start a local OpenAI-compatible server with a web UI: llama-server -hf Mediform/gemma4:Q4_K_M # Run inference directly in the terminal: llama-cli -hf Mediform/gemma4:Q4_K_M
Use pre-built binary
# Download pre-built binary from: # https://github.com/ggerganov/llama.cpp/releases # Start a local OpenAI-compatible server with a web UI: ./llama-server -hf Mediform/gemma4:Q4_K_M # Run inference directly in the terminal: ./llama-cli -hf Mediform/gemma4:Q4_K_M
Build from source code
git clone https://github.com/ggerganov/llama.cpp.git cd llama.cpp cmake -B build cmake --build build -j --target llama-server llama-cli # Start a local OpenAI-compatible server with a web UI: ./build/bin/llama-server -hf Mediform/gemma4:Q4_K_M # Run inference directly in the terminal: ./build/bin/llama-cli -hf Mediform/gemma4:Q4_K_M
Use Docker
docker model run hf.co/Mediform/gemma4:Q4_K_M
- LM Studio
- Jan
- Ollama
How to use Mediform/gemma4 with Ollama:
ollama run hf.co/Mediform/gemma4:Q4_K_M
- Unsloth Studio
How to use Mediform/gemma4 with Unsloth Studio:
Install Unsloth Studio (macOS, Linux, WSL)
curl -fsSL https://unsloth.ai/install.sh | sh # Run unsloth studio unsloth studio -H 0.0.0.0 -p 8888 # Then open http://localhost:8888 in your browser # Search for Mediform/gemma4 to start chatting
Install Unsloth Studio (Windows)
irm https://unsloth.ai/install.ps1 | iex # Run unsloth studio unsloth studio -H 0.0.0.0 -p 8888 # Then open http://localhost:8888 in your browser # Search for Mediform/gemma4 to start chatting
Using HuggingFace Spaces for Unsloth
# No setup required # Open https://huggingface.co/spaces/unsloth/studio in your browser # Search for Mediform/gemma4 to start chatting
- Pi
How to use Mediform/gemma4 with Pi:
Start the llama.cpp server
# Install llama.cpp: brew install llama.cpp # Start a local OpenAI-compatible server: llama-server -hf Mediform/gemma4:Q4_K_M
Configure the model in Pi
# Install Pi: npm install -g @mariozechner/pi-coding-agent # Add to ~/.pi/agent/models.json: { "providers": { "llama-cpp": { "baseUrl": "http://localhost:8080/v1", "api": "openai-completions", "apiKey": "none", "models": [ { "id": "Mediform/gemma4:Q4_K_M" } ] } } }Run Pi
# Start Pi in your project directory: pi
- Hermes Agent new
How to use Mediform/gemma4 with Hermes Agent:
Start the llama.cpp server
# Install llama.cpp: brew install llama.cpp # Start a local OpenAI-compatible server: llama-server -hf Mediform/gemma4:Q4_K_M
Configure Hermes
# Install Hermes: curl -fsSL https://hermes-agent.nousresearch.com/install.sh | bash hermes setup # Point Hermes at the local server: hermes config set model.provider custom hermes config set model.base_url http://127.0.0.1:8080/v1 hermes config set model.default Mediform/gemma4:Q4_K_M
Run Hermes
hermes
- Atomic Chat new
- Docker Model Runner
How to use Mediform/gemma4 with Docker Model Runner:
docker model run hf.co/Mediform/gemma4:Q4_K_M
- Lemonade
How to use Mediform/gemma4 with Lemonade:
Pull the model
# Download Lemonade from https://lemonade-server.ai/ lemonade pull Mediform/gemma4:Q4_K_M
Run and chat with the model
lemonade run user.gemma4-Q4_K_M
List all available models
lemonade list
llm.create_chat_completion(
messages = "No input example has been defined for this model task."
)gemma-4-E4B-it — Scribion German Medical Extraction (v3) — GGUF Q4_K_M
On-device (llama.cpp / MLX) build of a LoRA fine-tune of google/gemma-4-E4B-it for
German doctor–patient consultation fact extraction in Scribion's exact schema
(5 per-type calls → {id,text,section,evidence} over the 24 NOTE_STATE section paths).
Files
gemma4-e4b-v3-Q4_K_M.gguf— language model, Q4_K_M (~4.5 GB).mmproj-gemma-4-E4B-it-Q8_0.gguf— multimodal projector (audio+vision), unchanged from the base (ggml-org/gemma-4-E4B-it-GGUF); the LoRA only adapted the language tower, so the stock mmproj is correct. Needed for multimodal (audio/vision) inference; omit for text-only.
What it fixes (vs base / earlier v1)
Trained on teacher-distilled (gemma-4-31B-it-AWQ) Scribion-schema targets with per-type section validation + one-section-per-fact + correctly-empty calls. On the held-out Scribion eval (arztbericht, froehlich-krause), vs the base model it:
- correctly routes diagnoses (e.g. "Weber-B-Fraktur" →
plan.diagnosen_gesichert/findings.befunde, notfindings.vitalparameter), imaging (CT →findings.befunde, notlaboraufträge); - emits each fact in exactly ONE section (no cross-section duplication of prescriptions);
- improves recall + keeps clean clinical one-fact-per-item phrasing (negation/laterality/numbers preserved).
Usage (llama.cpp)
# text-only extraction (per Scribion's per-type system prompt + "Transkript:\n"+transcript):
llama-cli -m gemma4-e4b-v3-Q4_K_M.gguf -sys "<scribion per-type system prompt>" -p "Transkript:\n..."
# multimodal (audio/vision): also pass --mmproj mmproj-gemma-4-E4B-it-Q8_0.gguf
Caveats
Q4_K_M is a 4-bit quant (small quality loss vs bf16). Synthetic-distilled training data; use a real held-out clinical eval as the acceptance gate. Minor known regression: may miss an already-administered med (e.g. Clexane given in the ER). See the training repo for full eval.
Reconverted with llama.cpp @ 039e20a2d (2026-06-10), CPU build.
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4-bit
# !pip install llama-cpp-python from llama_cpp import Llama llm = Llama.from_pretrained( repo_id="Mediform/gemma4", filename="", )