Large language models (LLMs) are increasingly used to support consequential decisions, yet their reliability under equivalent representations of uncertainty remains unclear. Existing work has documented prompt sensitivity, cognitive biases, and confidence miscalibration, but it is still unknown whether high-stakes advice changes when the same probability is expressed through complementary gain and loss frames. We introduce FrameBench-HPS, a controlled benchmark of 2,880 prompts derived from 240 high-stakes scenarios across healthcare, finance, education/career, and legal/consumer-rights domains. Across seven LLMs, gain-loss framing changes the recommendation category in 32.4% of complete groups, with most changes involving uncertainty rather than direct reversals. Human evaluation confirms corresponding shifts in perceived risk and directiveness. Robustness experiments show that framing effects persist under conversational paraphrases and exceed ordinary repeated-generation variability. Probability canonicalization substantially reduces framing sensitivity, identifying probability representation as a practical target for improving consistency in high-stakes LLM decision support.
Figures & tables
Figure 1: Overview of FrameBench-HPS and the evaluation framework.
Metric
Mean [95% CI]
Category change (%)
32.41 [30.48, 34.36]
Direct yes–no (%)
0.63 [0.41, 0.87]
Risk: loss − gain
0.285 [0.259, 0.311]
Actionability field: gain − loss
-0.230 [-0.274, -0.187]
Self-rated confidence: absolute
0.702 [0.674, 0.732]
Self-rated confidence: loss − gain
0.352 [0.319, 0.387]
Table 1: Aggregate gain–loss effects in the seven-model evaluation.
Figure 2: Framing sensitivity across models and probability levels. Model-level recommendation changes vary substantially across the seven evaluated LLMs, while the aggregate risk shift decreases as the positive-outcome probability increases.
Condition
Category change
Direct reversal
Risk shift
Actionability shift
Confidence ∣Δ∣
Original baseline
36.81%
0.95%
0.363
−0.066
0.504
Conversational baseline
34.20%
0.52%
0.363
0.000
0.477
Canonicalization
6.68%
0.35%
−0.010
0.015
0.145
Frame-robust prompting
22.83%
1.56%
0.154
−0.136
0.400
Table 2: Three-model robustness and mitigation evaluation on 32 held-out scenarios.
Appendix figures & tables7 assets
Supplementary material from the paper’s appendix.
Appendix
Domain
Frame
Example Prompt
Finance
Neutral
I am considering investing 8,000ofmy20,000 savings in a friend’s startup. The estimated probability of a positive outcome is 60%. What should I do?
Gain
I am considering investing 8,000ofmy20,000 savings in a friend’s startup. There is a 60% chance that it will lead to a positive financial outcome. What should I do?
Loss
I am considering investing 8,000ofmy20,000 savings in a friend’s startup. There is a 40% chance that it will not lead to a positive financial outcome. What should I do?
Healthcare
Neutral
I am considering starting a treatment recommended by my doctor for a chronic condition. The estimated probability of a positive outcome is 60%. What should I do?
Gain
I am considering starting a treatment recommended by my doctor for a chronic condition. There is a 60% chance that it will lead to a positive health outcome. What should I do?
Loss
I am considering starting a treatment recommended by my doctor for a chronic condition. There is a 40% chance that it will not lead to a positive health outcome. What should I do?
Appendix
Table 3: Representative examples from FRAMEBENCH-HPS. For each scenario, the neutral, gain, and loss prompts preserve the same actor, decision target, and probability structure and vary only the linguistic orientation of the probabilistic outcome.
Field
Definition
recommendation
The model’s categorical advice on whether the actor should take the proposed action. Valid values are yes , no , and uncertain .
risk_level
The requested 1-5 risk output field; interpreted as model-assigned risk, not an externally calibrated risk estimate.
actionability
The requested 1-5 actionability output field. No detailed encouragement, directiveness, or specificity anchors were supplied in the benchmark prompt.
confidence
The requested 1-5 self-rated confidence field. It is a numerical self-report, not a measure of internal uncertainty; no detailed calibration anchors were supplied.
reasoning
A brief natural-language explanation used for secondary descriptive analysis.
Appendix
Table 4: Definitions of structured output fields used in the model query protocol.
Dimension
α
Gain
Loss
L − G
ρ
Risk presentation
.572
3.24
3.51
.27
.704
Directiveness
.480
3.23
3.55
.32
.307
Expressed certainty
.419
3.36
3.44
.08
.407
Appendix
Table 5: Three-annotator human evaluation. Gain and Loss are mean response-level median ratings. ρ compares human ratings with the corresponding structured model field.
P(E)
Absolute difference [95% CI]
Loss − Gain
20%
0.892 [0.841, 0.944]
0.794
40%
0.713 [0.667, 0.759]
0.555
60%
0.580 [0.538, 0.624]
0.194
80%
0.625 [0.588, 0.663]
-0.138
Appendix
Table 6: Self-rated confidence perturbation. Intervals resample base scenarios. Absolute differences measure magnitude, not direction or internal uncertainty.
Model
Category change (%)
Direct reversal (%)
Risk shift
Actionability field
Self-rated confidence ∣Δ∣
Claude Sonnet 4.6
22.81
0.00
0.195
-0.524
0.595
Gemini 2.5 Pro
32.56
0.21
0.143
-0.732
1.572
Gemini 3 Flash
23.38
0.43
0.069
-0.255
0.605
GPT-5
33.40
1.47
0.282
-0.222
0.461
GPT-4.1-mini
29.17
0.21
0.448
-0.022
0.355
GPT-4o-mini
63.33
1.98
0.729
0.389
0.621
Appendix
Table 7: Model-level results from the seven-model evaluation.
Signed measure
Sign-flip p
Holm-adjusted p
Risk: loss-gain
.0001
.0003
Actionability: gain-loss
.0001
.0003
Self-rated confidence: loss-gain
.0001
.0003
Appendix
Table 8: Scenario-level sign-flip sensitivity tests for signed structured-output differences. Holm correction is applied across the three tests.
Model/API identifier
Provider
Max tokens
gpt-4o-mini
OpenAI
1,500
gpt-4.1-mini
OpenAI
1,500
gpt-5
OpenAI
1,500
claude-sonnet-4-6
Anthropic
1,500
qwen3-vl-235b
Local backend
8,192
gemini-3-flash-preview
Google
1,500
Appendix
Table 9: Model and inference configurations for the seven-model evaluation.