Accountability means a decision can be examined, justified, and contested. LLMs make this hard: fluent output may be ungrounded, incomplete, or unfaithful to the decision process. Achieving accountability requires verified rationales (how was the decision reached), assumptions (what was assumed rather than known), policy consistency (the same treatment for the same facts), and pivotal conditions (what would change the outcome). We introduce self-faithfulness as an automatic test of accountability: changing the pivotal conditions should change the decision. We examine accountable AI through clinical trial matching, a high-stakes task central to evidence-based medicine. Although LLM-based matchers match patients to trials reasonably accurately, they apply decision policies inconsistently and produce rationales that are unfaithful to their own decisions. We introduce VERDICT, an LLM-based agent that translates a decision task, its constraints, and its policy into Satisfiability Modulo Theories (SMT), then derives the decision with SMT and MaxSMT solvers -- so policies are applied consistently and decisions are accountable by construction. Across a SIGIR 2016-derived dataset and TREC 2021, VERDICT achieves the strongest decision accuracy among LLM-only and neurosymbolic baselines, applies policies with perfect consistency, and produces clinician-preferred rationales grounded in explicit assumptions and pivotal conditions, with improved counterfactual self-faithfulness.
Do LLM agents act on the reasoning they state? This question of process fidelity is central to LLM-based social simulation, yet hard to measure where no reference for correct behavior exists. We study it in a controlled setting: a Texas Poker simulator with a verifiable reference action for every decision by splitting the faithfulness gap into two steps: reasoning-to-conclusion (does the stated decision follow from the agent's own reasoning?) and conclusion-to-action (does the agent execute what it states?). The two steps behave very differently. Conclusion-to-action is reliable: inconsistency is 0.7% for Claude Haiku 4.5 and 1.4% for DeepSeek-Reasoner once the conclusion is read from an explicit tag, whereas free-text conclusion extraction reports 22-26%. Reasoning-to-conclusion is where fidelity frays, but not through a single dominant failure. In a step-level diagnostic the agent's errors split roughly evenly between bad inputs, borderline cases, and rule misapplication deriving a conclusion that contradicts the agent's own restated rule from inputs it estimated correctly. This composition is model-dependent: rule misapplication accounts for a third of Haiku's interpretable errors but only 8% of DeepSeek's. The one robust signal is directional: when an agent does misapply its own stated rule, it almost always (99.5% for Haiku) errs in the risk-averse direction. The override is partly hedging behavior, not a capability limit: instructing the agent to apply the rule mechanically halves the misapplication rate (13.9% to 6.8% of decisions) and raises adherence by eight points. Process-fidelity evaluation should therefore elicit machine-checkable conclusions and probe for directional biases rather than assume a single upstream failure mode, lest it conflate measurement noise with model behavior.
Faithful reasoning is essential in medicine, where clinical decisions require transparent justification grounded in reliable evidence. Current medical LLMs either lack active access to evidence or use retrieved evidence without supervising how it should be appraised and applied during reasoning. To address this, we formalize evidence-based medicine principles as process-level criteria and introduce FaithMed, a framework that combines clinician-designed, automatically refined rubrics with reinforcement learning using step-level process reward assignment and advantage grouping. Across seven medical benchmarks, FaithMed improves over agentic-search baselines (+9% on average) and outcome-only RL (+5.8%), while raising average evidence-based medicine rubric scores over agentic-search Qwen3 baselines (+15.5%). This work demonstrates that explicit step-level supervision can improve both task success and the faithfulness of the reasoning process. Code is available at https://github.com/cxcscmu/FaithMed.
When asked to explain their decisions, LLMs can often give explanations which sound plausible to humans. But are these explanations faithful, i.e. do they convey the factors actually responsible for the decision? In this work, we analyse counterfactual faithfulness across 75 models from 13 families. We analyze the tradeoff between conciseness and comprehensiveness, how correlational faithfulness metrics assess this tradeoff, and the extent to which metrics can be gamed. This analysis motivates two new metrics: the phi-CCT, a simplified variant of the Correlational Counterfactual Test (CCT) which avoids the need for token probabilities while explaining most of the variance of the original test; and F-AUROC, which eliminates sensitivity to imbalanced intervention distributions and captures a model's ability to produce explanations with different levels of detail. Our findings reveal a clear scaling trend: larger and more capable models are consistently more faithful on all metrics we consider. Our code is available at https://github.com/google-deepmind/corr_faith.
Noah Y. Siegel, Nicolas Heess, Maria Perez-Ortiz +1