An Empirical Study of Recent Large Language Models for Knowledge Graph to Text Generation on Standard Benchmarks

A recent Nature Medicine study reports that general-purpose frontier LLMs outperform specialized retrieval-augmented clinical tools on medical benchmarks, and that retrieval can hurt strong models. We ask the natural follow-up: does structured knowledge-graph (KG) grounding change this, and when does grounding help at all? We contribute two results. First, a reproduction: the study's headline HealthBench score (~88) is the Consensus variant, not full HealthBench, where frontier models and ideal completions both score ~46-47 under a physician-calibrated grader (agreement 82.5%); we reproduce GPT-5.2 Consensus =90.9 and flag a score-deflating grader bug. Second, a knowledge-boundary result. Using a graph+vector engine (samyama-graph) over the public biomedical KG PrimeKG, neither naive triple retrieval nor an agentic natural-language-to-Cypher loop (82% successful queries) improves MedQA across a weak-to-strong model ladder (all |Delta| <= 3.4). On a synthetic counterfactual KG, and on a hybrid benchmark mixing known and novel facts, the identical pipeline lifts out-of-training accuracy from chance to ~100% (+68 to +79) while adding nothing on known facts (a no-LLM arm answers both). Across three regimes (no-knowledge, graph-aided, hybrid), grounding helps only insofar as the decisive fact lies outside the model's training -- public-KG facts are redundant, private and novel data are where it pays -- matching the study's institutional-data caveat.

Modern Large Language Models (LLMs) have shown impressive performances in user-facing tasks such as question answering, as well as consistent improvements in reasoning capabilities. Still, the way these models encode knowledge seems inherently flawed: by design, LLMs encode world-knowledge within their parameters. This way of representing knowledge is inherently opaque, difficult to debug and update, and prone to hallucinations. On the other hand, Knowledge Graphs can provide human-readable and easily editable world knowledge representations, and their application in knowledge-intensive tasks has consistently proven beneficial to downstream performance. Nonetheless, current integration techniques require extensive retraining or finetuning. To overcome this issue, we introduce KoRe, a methodology to encode 1-hop sub-graphs into compact discrete knowledge tokens and inject them into a LLM backbone. We test the proposed approach on three established benchmarks, and report competitive performances coupled with a significant reduction (up to 10x) in token usage. Our results show that compact discrete KG representations can efficiently and effectively be used to ground modern LLMs.

Retrieval of information from graph-structured knowledge bases represents a promising direction for improving the factuality of LLMs. While various solutions have been proposed, a comparison of methods is difficult due to the lack of challenging QA datasets with ground-truth targets for graph retrieval. We present SynthKGQA, an LLM-powered framework for generating high-quality Knowledge Graph Question Answering datasets from any Knowledge Graph, providing the full set of ground-truth facts in the KG to reason over questions. To demonstrate its utility, we apply SynthKGQA to ogbl-wikikg2, a Wikidata-derived KG, and validate generated items against an up-to-date dump of Wikidata to create GTSQA. This new dataset is specifically designed to test zero-shot generalization with respect to unseen graph structures and relation types, enabling us to analyze the abilities and limitations of SOTA graph retrieval approaches at an unprecedented level of granularity. We also show that KG retrievers trained on GTSQA can transfer to a human-curated benchmark, and that the ground-truth subgraphs produced by SynthKGQA provide a better training supervision signal than previously-used heuristics.