Interpretable machine learning for Large Language Models (LLMs) increasingly relies on sparse probing methods that identify small sets of neurons claimed to detect and causally influence behaviors such as factuality recall, safety alignment, and hallucination. These claims have important implications for model auditing and behavioral steering, yet they are rarely tested against known failure modes of L1-regularized probing in correlated, high-dimensional feature spaces. We propose a five-step diagnostic protocol covering feature correlation, bootstrap stability, sparse versus dense ranking disagreement, intervention baselines, and cross-dataset evaluation as a minimum standard for sparse-neuron localization claims. We investigate prior work using our proposed approach, specifically on H-neurons using open-source LLMs across TriviaQA, BioASQ, and NQ-Open datasets. Our results demonstrate detection replicates across both models and datasets, and exceeds the original reported AUROC gaps for TriviaQA and BioASQ datasets. Gemma 3 4B consistently outperforms MedGemma 4B on matched datasets, with AUROC gaps of +0.311 versus +0.235 on TriviaQA, +0.474 versus +0.455 on BioASQ, and +0.128 versus +0.112 on NQ-Open respectively. Causal validation at n=500 with five random seeds shows statistically significant effects beyond random same-layer baselines. At the same time, the diagnostic results indicate that the selected neurons are not uniquely localized. Across the three Gemma 3 4B settings, 19 of 22 selected H-Neurons have Pearson ∣r∣>0.7 with other features, bootstrap selections show only moderate stability, and sparse and dense rankings overlap only weakly. Our findings show that sparse predictive structure can coexist with non-unique neuron selection. Routine diagnostic validation is necessary to distinguish detection claims from localization claims in mechanistic interpretability.
Hallucination remains one of the central obstacles to deploying medical LLMs. Yet, even when hallucination can be detected, it is still unclear whether the internal representations associated with it can be used for control rather than detection alone. Using four open-source models across a suite of medical question-answering datasets, we show that a simple, carefully conditioned probe can reliably detect hallucination, with AUROC scores between 0.77 and 0.86 in our case. We further show that this signal is distributed and redundant rather than narrowly localized. Systematically selected neurons outperform random neurons only at very small subset sizes, whereas random subsets of a few hundred neurons recover nearly the full signal, and low-dimensional random projections preserve most of the detection performance. Beyond detection, we test whether this representation is causally actionable. Across 16 model--dataset combinations, our results reveal a sharp gap between decodability and controllability. The same internal structure that makes hallucination easy to detect does not translate into reliable neuron-level control. These findings show that medical hallucination seems to be readily visible in internal activations, but not easily corrected by steering the neurons most associated with it. More broadly, our results suggest that hallucination mitigation is not simply a matter of identifying the right neurons, and point to a deeper separation between what representations reveal and what they allow us to change.
Despite substantial advances, large language models (LLMs) continue to exhibit hallucinations, generating plausible yet incorrect responses. In this paper, we highlight a critical yet previously underexplored class of hallucinations driven by spurious correlations -- superficial but statistically prominent associations between features (e.g., surnames) and attributes (e.g., nationality) present in the training data. We demonstrate that these spurious correlations induce hallucinations that are confidently generated, immune to model scaling, evade current detection methods, and persist even after refusal fine-tuning. Through systematically controlled synthetic experiments and empirical evaluations on state-of-the-art open-source and proprietary LLMs (including GPT-5), we show that existing hallucination detection methods, such as confidence-based filtering and inner-state probing, fundamentally fail in the presence of spurious correlations. Our theoretical analysis further elucidates why these statistical biases intrinsically undermine confidence-based detection techniques. Our findings thus emphasize the urgent need for new approaches explicitly designed to address hallucinations caused by spurious correlations.
Large language models (LLMs) hallucinate with confidence: their outputs can be fluent, authoritative, and simply wrong. In medical, legal, and scientific applications this failure causes direct harm, and detecting it from internal model states offers a path to safer deployment. A growing body of work reports that this problem is increasingly tractable, with recent methods achieving high detection performance on widely used benchmarks. We show, however, that much of this apparent progress does not survive scrutiny. Four of the six corpora embed the ground-truth answer directly in the input prompt. A naïve text-similarity baseline we call \textsc{TxTemb} exploits this to achieve near-perfect detection scores without any access to model internals. To measure what genuine detection capability remains once these artifacts are controlled, we conduct a large-scale evaluation spanning twenty-two detection methods, twelve open-source models spanning six architectural families, and six corpora. We further introduce \textbf{DRIFT}, a supervised probe over inter-layer hidden-state transitions, as a point of comparison for live-generation detection. Our findings suggest that the field's reported progress on hallucination detection is substantially explained by benchmark construction artifacts in widely used corpora, and that the majority of established baselines perform near chance under controlled conditions; the consistent exceptions are SAPLMA and DRIFT, both supervised probes on upper-layer hidden states.