Although Multimodal Large Language Models have achieved strong performance across a wide range of vision-language tasks, they still suffer from hallucinations, where model outputs become inconsistent with the visual content, textual context, or commonsense knowledge. Existing studies primarily address this problem through coarse-grained detection. However, these approaches often provide insufficient diagnostic information for understanding hallucination types and supporting downstream hallucination mitigation. To bridge this gap, we propose fine-grained hallucination diagnosis for MLLMs, a new unified task that jointly performs hallucination detection, classification, and interpretable explanation generation. We develop an automated data generation pipeline and construct HalluScope-30K, a large-scale diagnostic dataset covering eight sources and five task categories. Based on this dataset, we design a multi-granular joint reward function and train two diagnosis models, HalluScope-4B and HalluScope-8B, which achieve state-of-the-art performance on both the MHALO benchmark and our fine-grained hallucination classification benchmark. Notably, detection and classification are mutually beneficial under joint optimization. Furthermore, diagnosis-driven feedback experiments show that the fine-grained diagnostic explanations produced by our model effectively guide target models to correct their hallucinations, with full diagnosis substantially outperforming all baselines on both Qwen3-VL-8B-Instruct and LLaVA-1.5-7B. Our code, data, and models are available at https://github.com/wkinglin/HalluScope.
Existing research on object hallucination in multimodal large language models (MLLMs) predominantly attributes the problem to language priors such as over-reliance on textual co-occurrence statistics. We challenge this view by presenting quantitative evidence for a complementary, under-explored cause: visual-origin hallucination, where hallucinations arise from incorrect visual feature extraction and misalignment between image and text embeddings. Through cosine similarity analysis and Smooth Grad-CAM entropy measurements, we show that hallucinated samples exhibit systematically lower image-text similarity (average 0.158 vs. -0.122) and inverted attention patterns, where attention is dispersed when the target object is present but wrongly concentrated when it is absent. Guided by this diagnosis, we propose Adversarial Contrastive Fine-Tuning (ACFT). ACFT uses an Adversarial Hallucination Attribute Flipping (AHAF) procedure, involving minimal, targeted adversarial perturbations that flip an image's hallucination attribute, to construct perfectly aligned positive-negative pairs, which are then used for contrastive fine-tuning. AHAF simultaneously serves as a diagnostic probe, revealing that MLLM visual representations lie dangerously close to hallucination decision boundaries. Requiring only 0.9% of the COCO dataset and adding zero inference overhead, ACFT achieves state-of-the-art performance on POPE, MME, and four description-level hallucination benchmarks across LLaVA, MiniGPT-4, and Qwen2.5-VL. Code is available at https://github.com/zxp555/ACFT_MM
While Multimodal Large Language Models (MLLMs) have achieved remarkable progress across diverse tasks, they suffer from hallucinations where generated outputs contradict or misrepresent input semantics. Existing research typically addresses hallucination detection within a single modality or task type, limiting generalizability. We introduce OmniHallu, a unified hallucination detection framework spanning both comprehension and generation tasks across image, video, and audio modalities. We contribute OmniHallu-Bench, a 10,000-sample benchmark with claim-level human annotations covering six cross-modal tasks: image-to-text (I2T), video-to-text (V2T), audio-to-text (A2T), text-to-image (T2I), text-to-video (T2V), and text-to-audio (T2A). Our multi-agent architecture decomposes model outputs into atomic claims, verifies them through modality-specific experts, and aggregates evidence via structured reasoning. We further propose a preference-optimized trainable verifier that approximates the multi-agent decision boundary, reducing expert calls by 66% with minimal performance loss. Extensive experiments reveal a consistent modality-dependent performance gradient and provide fine-grained insights into cross-modal hallucination patterns.
Building trustworthy medical multimodal large language models (MLLMs) is critical for reliable clinical decision support. Existing medical hallucination benchmarks mainly focus on data collection, but often ignore where hallucinations originate within the reasoning process. We find that hallucination sources vary across samples: errors may arise from visual misrecognition, incorrect medical knowledge recall, or flawed reasoning integration. To enable source-level hallucination diagnosis, we introduce ClinHallu, a benchmark for stage-wise hallucination diagnosis in medical MLLM reasoning. ClinHallu contains 7,031 validated instances, where each instance is augmented with a structured reasoning trace decomposed into Visual Recognition, Knowledge Recall, and Reasoning Integration. We also use stage-replacement interventions to measure how correcting specific stages affects the final answer. Beyond evaluation, we show that trace-supervised fine-tuning reduces stage-wise hallucinations. ClinHallu provides a fine-grained hallucination testbed for diagnosing and mitigating reasoning failures in medical MLLMs. The benchmark is publicly available at https://github.com/alibaba-damo-academy/ClinHallu.