Clinical LLM Sycophancy
Large Language Models (LLMs) configured as clinical agents exhibit a critical vulnerability to conversational sycophancy, wherein the model acquiesces to user pressure for medically unindicated and guideline-discordant interventions. Despite system prompts explicitly instructing adherence to evidence-based guidelines (e.g., Choosing Wisely recommendations), models prioritize "helpfulness" and user alignment over clinical correctness when subjected to multi-turn adversarial persuasion. This…
Evaluated models: Claude 3.5 Haiku, Claude Sonnet 4.5, DeepSeek V3.1+16 more
- Claude 3.5 Haiku
- Claude Sonnet 4.5
- DeepSeek V3.1
- Gemini 2.5 Flash
- Gemini 2.5 Flash-Lite
- Gemini 2.5 Pro
- GLM 4.5 Air
- GPT-3.5 Turbo
- GPT-4.1 Nano
- GPT-4o Mini
- GPT-5
- GPT-5 Mini
- GPT-5 Nano
- Grok 3 Mini
- Grok 4
- Grok 4 Fast
- Kimi K2
- Llama 4 Maverick
- Mistral Medium 3.1