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Feb 26

Fact-Controlled Diagnosis of Hallucinations in Medical Text Summarization

Hallucinations in large language models (LLMs) during summarization of patient-clinician dialogues pose significant risks to patient care and clinical decision-making. However, the phenomenon remains understudied in the clinical domain, with uncertainty surrounding the applicability of general-domain hallucination detectors. The rarity and randomness of hallucinations further complicate their investigation. In this paper, we conduct an evaluation of hallucination detection methods in the medical domain, and construct two datasets for the purpose: A fact-controlled Leave-N-out dataset -- generated by systematically removing facts from source dialogues to induce hallucinated content in summaries; and a natural hallucination dataset -- arising organically during LLM-based medical summarization. We show that general-domain detectors struggle to detect clinical hallucinations, and that performance on fact-controlled hallucinations does not reliably predict effectiveness on natural hallucinations. We then develop fact-based approaches that count hallucinations, offering explainability not available with existing methods. Notably, our LLM-based detectors, which we developed using fact-controlled hallucinations, generalize well to detecting real-world clinical hallucinations. This research contributes a suite of specialized metrics supported by expert-annotated datasets to advance faithful clinical summarization systems.

  • 12 authors
·
May 31, 2025

MIRAGE: Assessing Hallucination in Multimodal Reasoning Chains of MLLM

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.

  • 6 authors
·
May 30, 2025

Refine Medical Diagnosis Using Generation Augmented Retrieval and Clinical Practice Guidelines

Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.

  • 8 authors
·
Jun 22, 2025

Heaven-Sent or Hell-Bent? Benchmarking the Intelligence and Defectiveness of LLM Hallucinations

Hallucinations in large language models (LLMs) are commonly regarded as errors to be minimized. However, recent perspectives suggest that some hallucinations may encode creative or epistemically valuable content, a dimension that remains underquantified in current literature. Existing hallucination detection methods primarily focus on factual consistency, struggling to handle heterogeneous scientific tasks and balance creativity with accuracy. To address these challenges, we propose HIC-Bench, a novel evaluation framework that categorizes hallucinations into Intelligent Hallucinations (IH) and Defective Hallucinations (DH), enabling systematic investigation of their interplay in LLM creativity. HIC-Bench features three core characteristics: (1) Structured IH/DH Assessment. using a multi-dimensional metric matrix integrating Torrance Tests of Creative Thinking (TTCT) metrics (Originality, Feasibility, Value) with hallucination-specific dimensions (scientific plausibility, factual deviation); (2) Cross-Domain Applicability. spanning ten scientific domains with open-ended innovation tasks; and (3) Dynamic Prompt Optimization. leveraging the Dynamic Hallucination Prompt (DHP) to guide models toward creative and reliable outputs. The evaluation process employs multiple LLM judges, averaging scores to mitigate bias, with human annotators verifying IH/DH classifications. Experimental results reveal a nonlinear relationship between IH and DH, demonstrating that creativity and correctness can be jointly optimized. These insights position IH as a catalyst for creativity and reveal the ability of LLM hallucinations to drive scientific innovation.Additionally, the HIC-Bench offers a valuable platform for advancing research into the creative intelligence of LLM hallucinations.

  • 5 authors
·
Dec 25, 2025

The HalluRAG Dataset: Detecting Closed-Domain Hallucinations in RAG Applications Using an LLM's Internal States

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.

  • 2 authors
·
Dec 22, 2024

Large Language Models Hallucination: A Comprehensive Survey

Large language models (LLMs) have transformed natural language processing, achieving remarkable performance across diverse tasks. However, their impressive fluency often comes at the cost of producing false or fabricated information, a phenomenon known as hallucination. Hallucination refers to the generation of content by an LLM that is fluent and syntactically correct but factually inaccurate or unsupported by external evidence. Hallucinations undermine the reliability and trustworthiness of LLMs, especially in domains requiring factual accuracy. This survey provides a comprehensive review of research on hallucination in LLMs, with a focus on causes, detection, and mitigation. We first present a taxonomy of hallucination types and analyze their root causes across the entire LLM development lifecycle, from data collection and architecture design to inference. We further examine how hallucinations emerge in key natural language generation tasks. Building on this foundation, we introduce a structured taxonomy of detection approaches and another taxonomy of mitigation strategies. We also analyze the strengths and limitations of current detection and mitigation approaches and review existing evaluation benchmarks and metrics used to quantify LLMs hallucinations. Finally, we outline key open challenges and promising directions for future research, providing a foundation for the development of more truthful and trustworthy LLMs.

  • 2 authors
·
Oct 5, 2025

Medical Hallucinations in Foundation Models and Their Impact on Healthcare

Foundation Models that are capable of processing and generating multi-modal data have transformed AI's role in medicine. However, a key limitation of their reliability is hallucination, where inaccurate or fabricated information can impact clinical decisions and patient safety. We define medical hallucination as any instance in which a model generates misleading medical content. This paper examines the unique characteristics, causes, and implications of medical hallucinations, with a particular focus on how these errors manifest themselves in real-world clinical scenarios. Our contributions include (1) a taxonomy for understanding and addressing medical hallucinations, (2) benchmarking models using medical hallucination dataset and physician-annotated LLM responses to real medical cases, providing direct insight into the clinical impact of hallucinations, and (3) a multi-national clinician survey on their experiences with medical hallucinations. Our results reveal that inference techniques such as Chain-of-Thought (CoT) and Search Augmented Generation can effectively reduce hallucination rates. However, despite these improvements, non-trivial levels of hallucination persist. These findings underscore the ethical and practical imperative for robust detection and mitigation strategies, establishing a foundation for regulatory policies that prioritize patient safety and maintain clinical integrity as AI becomes more integrated into healthcare. The feedback from clinicians highlights the urgent need for not only technical advances but also for clearer ethical and regulatory guidelines to ensure patient safety. A repository organizing the paper resources, summaries, and additional information is available at https://github.com/mitmedialab/medical hallucination.

  • 25 authors
·
Feb 25, 2025

Detecting and Evaluating Medical Hallucinations in Large Vision Language Models

Large Vision Language Models (LVLMs) are increasingly integral to healthcare applications, including medical visual question answering and imaging report generation. While these models inherit the robust capabilities of foundational Large Language Models (LLMs), they also inherit susceptibility to hallucinations-a significant concern in high-stakes medical contexts where the margin for error is minimal. However, currently, there are no dedicated methods or benchmarks for hallucination detection and evaluation in the medical field. To bridge this gap, we introduce Med-HallMark, the first benchmark specifically designed for hallucination detection and evaluation within the medical multimodal domain. This benchmark provides multi-tasking hallucination support, multifaceted hallucination data, and hierarchical hallucination categorization. Furthermore, we propose the MediHall Score, a new medical evaluative metric designed to assess LVLMs' hallucinations through a hierarchical scoring system that considers the severity and type of hallucination, thereby enabling a granular assessment of potential clinical impacts. We also present MediHallDetector, a novel Medical LVLM engineered for precise hallucination detection, which employs multitask training for hallucination detection. Through extensive experimental evaluations, we establish baselines for popular LVLMs using our benchmark. The findings indicate that MediHall Score provides a more nuanced understanding of hallucination impacts compared to traditional metrics and demonstrate the enhanced performance of MediHallDetector. We hope this work can significantly improve the reliability of LVLMs in medical applications. All resources of this work will be released soon.

  • 10 authors
·
Jun 14, 2024

AUTOHALLUSION: Automatic Generation of Hallucination Benchmarks for Vision-Language Models

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.

  • 12 authors
·
Jun 16, 2024 4

Zero-Resource Hallucination Prevention for Large Language Models

The prevalent use of large language models (LLMs) in various domains has drawn attention to the issue of "hallucination," which refers to instances where LLMs generate factually inaccurate or ungrounded information. Existing techniques for hallucination detection in language assistants rely on intricate fuzzy, specific free-language-based chain of thought (CoT) techniques or parameter-based methods that suffer from interpretability issues. Additionally, the methods that identify hallucinations post-generation could not prevent their occurrence and suffer from inconsistent performance due to the influence of the instruction format and model style. In this paper, we introduce a novel pre-detection self-evaluation technique, referred to as SELF-FAMILIARITY, which focuses on evaluating the model's familiarity with the concepts present in the input instruction and withholding the generation of response in case of unfamiliar concepts. This approach emulates the human ability to refrain from responding to unfamiliar topics, thus reducing hallucinations. We validate SELF-FAMILIARITY across four different large language models, demonstrating consistently superior performance compared to existing techniques. Our findings propose a significant shift towards preemptive strategies for hallucination mitigation in LLM assistants, promising improvements in reliability, applicability, and interpretability.

  • 3 authors
·
Sep 5, 2023

A Comprehensive Survey of Hallucination Mitigation Techniques in Large Language Models

As Large Language Models (LLMs) continue to advance in their ability to write human-like text, a key challenge remains around their tendency to hallucinate generating content that appears factual but is ungrounded. This issue of hallucination is arguably the biggest hindrance to safely deploying these powerful LLMs into real-world production systems that impact people's lives. The journey toward widespread adoption of LLMs in practical settings heavily relies on addressing and mitigating hallucinations. Unlike traditional AI systems focused on limited tasks, LLMs have been exposed to vast amounts of online text data during training. While this allows them to display impressive language fluency, it also means they are capable of extrapolating information from the biases in training data, misinterpreting ambiguous prompts, or modifying the information to align superficially with the input. This becomes hugely alarming when we rely on language generation capabilities for sensitive applications, such as summarizing medical records, financial analysis reports, etc. This paper presents a comprehensive survey of over 32 techniques developed to mitigate hallucination in LLMs. Notable among these are Retrieval Augmented Generation (Lewis et al, 2021), Knowledge Retrieval (Varshney et al,2023), CoNLI (Lei et al, 2023), and CoVe (Dhuliawala et al, 2023). Furthermore, we introduce a detailed taxonomy categorizing these methods based on various parameters, such as dataset utilization, common tasks, feedback mechanisms, and retriever types. This classification helps distinguish the diverse approaches specifically designed to tackle hallucination issues in LLMs. Additionally, we analyze the challenges and limitations inherent in these techniques, providing a solid foundation for future research in addressing hallucinations and related phenomena within the realm of LLMs.

  • 7 authors
·
Jan 2, 2024

Hallucinations in Neural Automatic Speech Recognition: Identifying Errors and Hallucinatory Models

Hallucinations are a type of output error produced by deep neural networks. While this has been studied in natural language processing, they have not been researched previously in automatic speech recognition. Here, we define hallucinations in ASR as transcriptions generated by a model that are semantically unrelated to the source utterance, yet still fluent and coherent. The similarity of hallucinations to probable natural language outputs of the model creates a danger of deception and impacts the credibility of the system. We show that commonly used metrics, such as word error rates, cannot differentiate between hallucinatory and non-hallucinatory models. To address this, we propose a perturbation-based method for assessing the susceptibility of an automatic speech recognition (ASR) model to hallucination at test time, which does not require access to the training dataset. We demonstrate that this method helps to distinguish between hallucinatory and non-hallucinatory models that have similar baseline word error rates. We further explore the relationship between the types of ASR errors and the types of dataset noise to determine what types of noise are most likely to create hallucinatory outputs. We devise a framework for identifying hallucinations by analysing their semantic connection with the ground truth and their fluency. Finally, we discover how to induce hallucinations with a random noise injection to the utterance.

  • 2 authors
·
Jan 3, 2024

MedHalu: Hallucinations in Responses to Healthcare Queries by Large Language Models

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.

  • 6 authors
·
Sep 28, 2024

Uncertainty Quantification for Language Models: A Suite of Black-Box, White-Box, LLM Judge, and Ensemble Scorers

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.

  • 2 authors
·
Apr 27, 2025

Hallucination of Multimodal Large Language Models: A Survey

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.

  • 7 authors
·
Apr 29, 2024

Toward Reliable Biomedical Hypothesis Generation: Evaluating Truthfulness and Hallucination in Large Language Models

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.

  • 8 authors
·
May 20, 2025 2

HalluLens: LLM Hallucination Benchmark

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.

  • 8 authors
·
Apr 24, 2025

CrossCheckGPT: Universal Hallucination Ranking for Multimodal Foundation Models

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.

  • 7 authors
·
May 22, 2024

The Troubling Emergence of Hallucination in Large Language Models -- An Extensive Definition, Quantification, and Prescriptive Remediations

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.

  • 8 authors
·
Oct 7, 2023

Real-Time Detection of Hallucinated Entities in Long-Form Generation

Large language models are now routinely used in high-stakes applications where hallucinations can cause serious harm, such as medical consultations or legal advice. Existing hallucination detection methods, however, are impractical for real-world use, as they are either limited to short factual queries or require costly external verification. We present a cheap, scalable method for real-time identification of hallucinated tokens in long-form generations, and scale it effectively to 70B parameter models. Our approach targets entity-level hallucinations -- e.g., fabricated names, dates, citations -- rather than claim-level, thereby naturally mapping to token-level labels and enabling streaming detection. We develop an annotation methodology that leverages web search to annotate model responses with grounded labels indicating which tokens correspond to fabricated entities. This dataset enables us to train effective hallucination classifiers with simple and efficient methods such as linear probes. Evaluating across four model families, our classifiers consistently outperform baselines on long-form responses, including more expensive methods such as semantic entropy (e.g., AUC 0.90 vs 0.71 for Llama-3.3-70B), and are also an improvement in short-form question-answering settings. Moreover, despite being trained only with entity-level labels, our probes effectively detect incorrect answers in mathematical reasoning tasks, indicating generalization beyond entities. While our annotation methodology is expensive, we find that annotated responses from one model can be used to train effective classifiers on other models; accordingly, we publicly release our datasets to facilitate reuse. Overall, our work suggests a promising new approach for scalable, real-world hallucination detection.

  • 6 authors
·
Aug 25, 2025

Learned Hallucination Detection in Black-Box LLMs using Token-level Entropy Production Rate

Hallucinations in Large Language Model (LLM) outputs for Question Answering (QA) tasks can critically undermine their real-world reliability. This paper introduces a methodology for robust, one-shot hallucination detection, specifically designed for scenarios with limited data access, such as interacting with black-box LLM APIs that typically expose only a few top candidate log-probabilities per token. Our approach derives uncertainty indicators directly from these readily available log-probabilities generated during non-greedy decoding. We first derive an Entropy Production Rate (EPR) that offers baseline performance, later augmented with supervised learning. Our learned model leverages the entropic contributions of the accessible top-ranked tokens within a single generated sequence, without multiple re-runs per query. Evaluated across diverse QA datasets and multiple LLMs, this estimator significantly improves token-level hallucination detection over state-of-the-art methods. Crucially, high performance is demonstrated using only the typically small set of available log-probabilities (e.g., top-10 per token), confirming its practical efficiency and suitability for API-constrained deployments. This work provides a lightweight technique to enhance the trustworthiness of LLM responses, at the token level, after a single generation pass, for QA and Retrieval-Augmented Generation (RAG) systems. Our experiments confirmed the performance of our method against existing approaches on public dataset as well as for a financial framework analyzing annual company reports.

artefactory Artefact
·
Sep 1, 2025

Grounding or Guessing? Visual Signals for Detecting Hallucinations in Sign Language Translation

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.

  • 7 authors
·
Oct 21, 2025

Hallucination Detox: Sensitive Neuron Dropout (SeND) for Large Language Model Training

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.

  • 5 authors
·
Oct 20, 2024 2

Distinguishing Ignorance from Error in LLM Hallucinations

Large language models (LLMs) are susceptible to hallucinations-outputs that are ungrounded, factually incorrect, or inconsistent with prior generations. We focus on close-book Question Answering (CBQA), where previous work has not fully addressed the distinction between two possible kinds of hallucinations, namely, whether the model (1) does not hold the correct answer in its parameters or (2) answers incorrectly despite having the required knowledge. We argue that distinguishing these cases is crucial for detecting and mitigating hallucinations. Specifically, case (2) may be mitigated by intervening in the model's internal computation, as the knowledge resides within the model's parameters. In contrast, in case (1) there is no parametric knowledge to leverage for mitigation, so it should be addressed by resorting to an external knowledge source or abstaining. To help distinguish between the two cases, we introduce Wrong Answer despite having Correct Knowledge (WACK), an approach for constructing model-specific datasets for the second hallucination type. Our probing experiments indicate that the two kinds of hallucinations are represented differently in the model's inner states. Next, we show that datasets constructed using WACK exhibit variations across models, demonstrating that even when models share knowledge of certain facts, they still vary in the specific examples that lead to hallucinations. Finally, we show that training a probe on our WACK datasets leads to better hallucination detection of case (2) hallucinations than using the common generic one-size-fits-all datasets. The code is available at https://github.com/technion-cs-nlp/hallucination-mitigation .

  • 4 authors
·
Oct 29, 2024

Fine-Grained Detection of Context-Grounded Hallucinations Using LLMs

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.

SelfCheckAgent: Zero-Resource Hallucination Detection in Generative Large Language Models

Detecting hallucinations in Large Language Models (LLMs) remains a critical challenge for their reliable deployment in real-world applications. To address this, we introduce SelfCheckAgent, a novel framework integrating three different agents: the Symbolic Agent, the Specialized Detection Agent, and the Contextual Consistency Agent. These agents provide a robust multi-dimensional approach to hallucination detection. Notable results include the Contextual Consistency Agent leveraging Llama 3.1 with Chain-of-Thought (CoT) to achieve outstanding performance on the WikiBio dataset, with NonFactual hallucination detection scoring 93.64%, Factual 70.26%, and Ranking 78.48% respectively. On the AIME dataset, GPT-4o with CoT excels in NonFactual detection with 94.89% but reveals trade-offs in Factual with 30.58% and Ranking with 30.68%, underscoring the complexity of hallucination detection in the complex mathematical domains. The framework also incorporates a triangulation strategy, which increases the strengths of the SelfCheckAgent, yielding significant improvements in real-world hallucination identification. The comparative analysis demonstrates SelfCheckAgent's applicability across diverse domains, positioning it as a crucial advancement for trustworthy LLMs. These findings highlight the potentiality of consistency-driven methodologies in detecting hallucinations in LLMs.

  • 3 authors
·
Feb 3, 2025

VDGD: Mitigating LVLM Hallucinations in Cognitive Prompts by Bridging the Visual Perception Gap

Recent interest in Large Vision-Language Models (LVLMs) for practical applications is moderated by the significant challenge of hallucination or the inconsistency between the factual information and the generated text. In this paper, we first perform an in-depth analysis of hallucinations and discover several novel insights about how and when LVLMs hallucinate. From our analysis, we show that: (1) The community's efforts have been primarily targeted towards reducing hallucinations related to visual recognition (VR) prompts (e.g., prompts that only require describing the image), thereby ignoring hallucinations for cognitive prompts (e.g., prompts that require additional skills like reasoning on contents of the image). (2) LVLMs lack visual perception, i.e., they can see but not necessarily understand or perceive the input image. We analyze responses to cognitive prompts and show that LVLMs hallucinate due to a perception gap: although LVLMs accurately recognize visual elements in the input image and possess sufficient cognitive skills, they struggle to respond accurately and hallucinate. To overcome this shortcoming, we propose Visual Description Grounded Decoding (VDGD), a simple, robust, and training-free method for alleviating hallucinations. Specifically, we first describe the image and add it as a prefix to the instruction. Next, during auto-regressive decoding, we sample from the plausible candidates according to their KL-Divergence (KLD) to the description, where lower KLD is given higher preference. Experimental results on several benchmarks and LVLMs show that VDGD improves significantly over other baselines in reducing hallucinations. We also propose VaLLu, a benchmark for the comprehensive evaluation of the cognitive capabilities of LVLMs.

  • 7 authors
·
May 24, 2024

HalluDial: A Large-Scale Benchmark for Automatic Dialogue-Level Hallucination Evaluation

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.

  • 7 authors
·
Jun 11, 2024

Generate, but Verify: Reducing Hallucination in Vision-Language Models with Retrospective Resampling

Vision-Language Models (VLMs) excel at visual understanding but often suffer from visual hallucinations, where they generate descriptions of nonexistent objects, actions, or concepts, posing significant risks in safety-critical applications. Existing hallucination mitigation methods typically follow one of two paradigms: generation adjustment, which modifies decoding behavior to align text with visual inputs, and post-hoc verification, where external models assess and correct outputs. While effective, generation adjustment methods often rely on heuristics and lack correction mechanisms, while post-hoc verification is complicated, typically requiring multiple models and tending to reject outputs rather than refine them. In this work, we introduce REVERSE, a unified framework that integrates hallucination-aware training with on-the-fly self-verification. By leveraging a new hallucination-verification dataset containing over 1.3M semi-synthetic samples, along with a novel inference-time retrospective resampling technique, our approach enables VLMs to both detect hallucinations during generation and dynamically revise those hallucinations. Our evaluations show that REVERSE achieves state-of-the-art hallucination reduction, outperforming the best existing methods by up to 12% on CHAIR-MSCOCO and 28% on HaloQuest. Our dataset, model, and code are available at: https://reverse-vlm.github.io.

  • 6 authors
·
Apr 17, 2025 2

Detection and Mitigation of Hallucination in Large Reasoning Models: A Mechanistic Perspective

Large Reasoning Models (LRMs) have shown impressive capabilities in multi-step reasoning tasks. However, alongside these successes, a more deceptive form of model error has emerged--Reasoning Hallucination--where logically coherent but factually incorrect reasoning traces lead to persuasive yet faulty conclusions. Unlike traditional hallucinations, these errors are embedded within structured reasoning, making them more difficult to detect and potentially more harmful. In this work, we investigate reasoning hallucinations from a mechanistic perspective. We propose the Reasoning Score, which quantifies the depth of reasoning by measuring the divergence between logits obtained from projecting late layers of LRMs to the vocabulary space, effectively distinguishing shallow pattern-matching from genuine deep reasoning. Using this score, we conduct an in-depth analysis on the ReTruthQA dataset and identify two key reasoning hallucination patterns: early-stage fluctuation in reasoning depth and incorrect backtracking to flawed prior steps. These insights motivate our Reasoning Hallucination Detection (RHD) framework, which achieves state-of-the-art performance across multiple domains. To mitigate reasoning hallucinations, we further introduce GRPO-R, an enhanced reinforcement learning algorithm that incorporates step-level deep reasoning rewards via potential-based shaping. Our theoretical analysis establishes stronger generalization guarantees, and experiments demonstrate improved reasoning quality and reduced hallucination rates.

  • 5 authors
·
May 19, 2025

Hallucination Score: Towards Mitigating Hallucinations in Generative Image Super-Resolution

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.

  • 6 authors
·
Jul 18, 2025

FactCheckmate: Preemptively Detecting and Mitigating Hallucinations in LMs

Language models (LMs) hallucinate. We inquire: Can we detect and mitigate hallucinations before they happen? This work answers this research question in the positive, by showing that the internal representations of LMs provide rich signals that can be used for this purpose. We introduce FactCheckMate, which preemptively detects hallucinations by learning a classifier that predicts whether the LM will hallucinate, based on the model's hidden states produced over the inputs, before decoding begins. If a hallucination is detected, FactCheckMate then intervenes, by adjusting the LM's hidden states such that the model will produce more factual outputs. FactCheckMate provides fresh insights that the inner workings of LMs can be revealed by their hidden states. Practically, both the detection and mitigation models in FactCheckMate are lightweight, adding little inference overhead; FactCheckMate proves a more efficient approach for mitigating hallucinations compared to many post-hoc alternatives. We evaluate FactCheckMate over LMs of different scales and model families (including Llama, Mistral, and Gemma), across a variety of QA datasets from different domains. Our results demonstrate the effectiveness of leveraging internal representations for early hallucination detection and mitigation, achieving over 70% preemptive detection accuracy. On average, outputs generated by LMs with intervention are 34.4% more factual compared to those without intervention. The average overhead difference in the inference time introduced by FactCheckMate is around 3.16 seconds.

  • 4 authors
·
Oct 3, 2024

ToolBeHonest: A Multi-level Hallucination Diagnostic Benchmark for Tool-Augmented Large Language Models

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.

  • 13 authors
·
Jun 28, 2024

Chainpoll: A high efficacy method for LLM hallucination detection

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.

  • 2 authors
·
Oct 22, 2023

Knowledge Overshadowing Causes Amalgamated Hallucination in Large Language Models

Hallucination is often regarded as a major impediment for using large language models (LLMs), especially for knowledge-intensive tasks. Even when the training corpus consists solely of true statements, language models still generate hallucinations in the form of amalgamations of multiple facts. We coin this phenomenon as ``knowledge overshadowing'': when we query knowledge from a language model with multiple conditions, some conditions overshadow others, leading to hallucinated outputs. This phenomenon partially stems from training data imbalance, which we verify on both pretrained models and fine-tuned models, over a wide range of LM model families and sizes.From a theoretical point of view, knowledge overshadowing can be interpreted as over-generalization of the dominant conditions (patterns). We show that the hallucination rate grows with both the imbalance ratio (between the popular and unpopular condition) and the length of dominant condition description, consistent with our derived generalization bound. Finally, we propose to utilize overshadowing conditions as a signal to catch hallucination before it is produced, along with a training-free self-contrastive decoding method to alleviate hallucination during inference. Our proposed approach showcases up to 82% F1 for hallucination anticipation and 11.2% to 39.4% hallucination control, with different models and datasets.

  • 8 authors
·
Jul 10, 2024

HaluMem: Evaluating Hallucinations in Memory Systems of Agents

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.

MemTensor MemTensor
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Nov 5, 2025 3