MedicalHarness: A Controlled Evaluation of LLMs and Agent Harnesses on Medical Tasks

LLM agents are increasingly deployed as executable systems that use tools, modify workspaces, and produce concrete artifacts. In such workflows, performance depends not only on the base model, but also on the harness: the system layer that manages context, tools, state, constraints, permissions, tracing, and recovery. However, existing benchmarks typically abstract away execution, compare complete agent systems, or hold the harness fixed, making execution-layer variation difficult to study. We introduce Harness-Bench, a diagnostic benchmark for evaluating configuration-level harness effects in realistic agent workflows. Harness-Bench evaluates representative harness configurations across multiple model backends under shared task environments, budgets, and evaluation protocols, while preserving each harness's native execution behavior. The benchmark contains 106 sandboxed offline tasks constructed from practical agent-use patterns and manually reviewed for realism, solvability, oracle-checkability, and integrity. Each run records final artifacts, execution traces, usage statistics, and validator outputs, enabling analysis beyond final completion. Across 5,194 execution trajectories, we observe substantial variation in completion, process quality, efficiency, and failure behavior across model-harness pairings. These results suggest that agent capability should be reported at the model-harness configuration level rather than attributed to the base model alone. Our analysis further identifies recurring execution-alignment failures, where plausible reasoning becomes decoupled from tool feedback, workspace state, evidence, or verifiable output contracts. Harness-Bench provides a reproducible foundation for diagnosing and improving reliable, efficient, and auditable agent execution stacks.

This position paper argues that, for long-horizon tasks evaluated across models with comparable frontier capability, the agent execution harness, namely the infrastructure layer that governs context construction, tool interaction, orchestration, and verification around a language model, is often a stronger determinant of agent performance than the model it wraps. We formalize and defend the Binding Constraint Thesis: in this regime, performance variance is governed more by harness configuration than by model choice, and current evaluation protocols therefore systematically misattribute harness-level gains to model improvements. We support this thesis along three lines. First, a control-theoretic formalization treats the harness as the controller of a closed-loop dynamical system and the LLM as the stochastic policy it governs, which explains why small harness changes can produce performance shifts that exceed those obtained by substituting one model for another. Second, published benchmarks, industry deployments, and a controlled variance decomposition show that harness-induced variance can substantially exceed model-induced variance, including cases of model ranking reversal. Third, we propose a harness-aware evaluation framework with a disclosure standard and a variance decomposition protocol. Until harness specifications are disclosed, leaderboard comparisons for long-horizon agents should be treated as incomplete and potentially misleading.

As agents move from research prototypes to deployed tools, their capability increasingly depends on model-external execution infrastructure, commonly termed the agent harness. Changing this harness while holding model weights fixed can substantially alter task performance. Current agent evaluations typically report downstream performance under a chosen harness, leaving a model's ability to develop the harness itself comparatively underexplored. We introduce HarnessDev, a benchmark that shifts the unit of evaluation from task outputs to runnable infrastructure. HarnessDev covers two stages. In Creation, the agent starts from a minimal seed and a small number of cases, then builds a complete execution system. In Evolution, it starts from its own created harness and iteratively revises it using downstream execution feedback, with the goal of improving benchmark performance. We then evaluate each constructed harness on capability (task success on held-out benchmarks) and efficiency (execution-token cost). The reported Creation results cover six creator LLMs, four domains, and five downstream benchmarks totaling 2,207 unique downstream instances, with hidden evaluation tasks withheld from development. We find that generated harnesses remain substantially behind mature human-engineered references on code and on search and research, while matching or exceeding the selected references on writing and machine-learning experimentation, with large variation in execution cost. Evolution produces some performance gains, but they are unstable and transfer only partially to held-out tasks. Experiments with a fixed runtime model further show that the gains depend strongly on the model executing the harness, indicating limited transfer across models.