VLM Hallucination Mitigation

Large Vision-Language Models (LVLMs) frequently suffer from object hallucination. Existing training-free interventions primarily manipulate attention weights, which indirectly affect the deep semantics reaching the final predictive layers. In this work, we shift our focus to the hidden state vectors extracted after self-attention and residual addition. Empirical analysis reveals that hallucinated tokens do not simply over-rely on linguistic priors; instead, they exhibit an anomalous contextual deviation, showing significantly lower similarities to both textual and visual contexts in intermediate layers. Motivated by this, we propose ROT, a layer-specific, training-free framework. ROT dynamically detects semantic deviation in the middle layers and applies a norm-preserving rotation to steer the hidden states back toward the local multimodal context plane spanned by the contexts. For subsequent layers, a representational smoothing mechanism is introduced to stabilize the calibrated trajectory. Extensive experiments on multiple benchmarks demonstrate that ROT consistently reduces hallucinations across various model architectures and scales, offering an efficient, geometry-driven solution for grounded generation.

Multiple object hallucination, where large vision-language models (LVLMs) generate objects not supported by the visual input, is a persistent challenge caused by visual uncertainty during decoding. Existing methods reduce hallucinations using contrastive signals, but they rely on heuristics and lack principled control of false positives at the image level. To address this, we propose False Discovery Rate-COntRol of HALlucination (CORAL), a training-free framework that models visual uncertainty using an uncertainty-aware visual data splitting strategy and leverages mirror statistics to quantify visual contrast during decoding. By computing mirror statistics from paired, symmetrically perturbed visual inputs, CORAL estimates spurious object predictions and sets a data-driven threshold to control the expected fraction of false discoveries per image, suppressing hallucinations while retaining high power for truly grounded objects. The framework is flexible, supports multiple LVLMs, and mitigates hallucinations without retraining or supervision. Extensive experiments on multiple benchmarks with several evaluation metrics demonstrate that CORAL consistently outperforms state-of-the-art methods, providing more reliable and robust hallucination control. Code is available at: https://changliu1993-cl.github.io/CORAL/

While Large Vision-Language Models (LVLMs) achieve remarkable success, hallucinations remain a significant barrier to their reliable deployment. Recent studies primarily attribute these issues to cross-modal attention imbalances; most solutions therefore focus on reweighting visual tokens or suppressing language priors. However, such approaches often overlook the spectral characteristics of the visual information flow and frequently rely on Contrastive Decoding (CD), which doubles inference time. Instead of following conventional approaches, we identify two distinct hallucination patterns-Perceptual-Semantic Dissociation and Localized Fixation-and propose FLASH (Frequency-Localized Attention SHaping), a training-free and CD-free framework. FLASH utilizes a Spectral Vortex Score to detect vision heads within multi-head attention layers and applies adaptive spectral modulation to rectify the visual information flow during decoding. Empirical results demonstrate that FLASH achieves a superior balance between performance and efficiency compared to SOTA methods.

Large vision-language models (LVLMs) have recently achieved remarkable progress across multimodal tasks, yet object hallucination remains a persistent challenge where models generate descriptions inconsistent with the visual input. Recent work mitigates hallucinations through training-free representation editing, typically by constructing hallucination-related directions from teacher-forcing (TF) contrasts between hallucinated and truthful responses. However, LVLMs operate through autoregressive (AR) decoding during generation, raising the question of whether TF-based analysis fully reflects the generation dynamics that lead to hallucinated outputs. In this paper, we analyze the relationship between TF-based editing and AR generation behavior and find that TF-based editing alone may be insufficient to capture both decoding dynamics and multimodal interactions associated with hallucinations. To address this limitation, we propose DARE (Dual-path Auto-Regressive-aware Editing), a hybrid hallucination editing framework that integrates two complementary contrast pathways: textual contrasts and image contrasts, together with autoregressive-aware representation signals. Specifically, DARE constructs hallucination editing directions from (1) TF-based textual contrasts, (2) AR-aware representation transitions during decoding, and (3) controlled visual differences between paired images. Extensive experiments on multiple LVLM hallucination benchmarks demonstrate that DARE consistently reduces object hallucinations while preserving multimodal perception capability and inference efficiency. Our implementation code is available at https://github.com/KU-VGI/DARE.

Multimodal large language models (MLLMs) can explain deepfake verdicts in natural language, but such explanations are not necessarily visually grounded in the visual evidence underlying the prediction. A model may describe plausible artifacts inferred from language priors rather than from image evidence. Existing grounding methods improve visual reliance through decoding or attention interventions, but they generally strengthen grounding over the entire image, making them ill-suited for forensic artifacts that are subtle, spatially localized, and image-dependent. We propose Look Before You Judge, a training-free framework that formulates explainable deepfake detection as a sequential evidence acquisition process. Instead of directly predicting image authenticity from holistic visual reasoning, our framework first identifies image-specific candidate evidence regions by contrasting the MLLM's decoder-to-visual attention between an original image and its Gaussian-blurred counterpart. The identified regions are then inspected individually, and the resulting local evidence is integrated with the global image context before reaching a final verdict. The framework operates without manipulation masks, external forensic models, or parameter updates, making it directly applicable to off-the-shelf MLLMs. Across five open-source MLLMs on TriDF and MMTD-Set, our framework improves detection accuracy by up to 12.8%, reduces CHAIR by up to 33.4% and hallucination rate by up to 21.3%, and outperforms representative training-free decoding and attention methods.

Object hallucination remains a major challenge for large vision-language models. While off-policy preference optimization proves to be an effective solution, on-policy reinforcement learning provides a more promising direction as it directly targets a model's current failure modes. However, we find that without fine-grained reward formulation and allocation, on-policy optimization often falls into an easy shortcut: reducing hallucinations merely by saying less---making fewer valid claims. To comprehensively resolve this, we propose a fine-grained alignment framework that couples dense reward signals at the data level with precise credit assignment at the algorithmic level. Specifically, we first construct the Dense Object Presence and Absence (DOPA) dataset to address sparse annotations that prevent valid object claims from being verified and rewarded. DOPA exhaustively annotates the deterministic presence and absence of every concept across an expanded vocabulary, significantly increasing the density of reliable reward signals during on-policy rollouts. Second, we propose Subsentence-level Credit Assignment for on-Policy Optimization (SCAPO) to prevent response-level shared advantages from allowing local hallucinations to compromise all other valid outputs within the same response. By assigning credit to each subsentence independently based on its object claims, SCAPO can precisely reinforce faithful generations and penalize hallucinations. Furthermore, we leverage the resulting faithful image descriptions as auxiliary context to transfer generative gains to discriminative tasks. Experiments demonstrate that our method produces highly informative, faithful descriptions in generative tasks while yielding clear performance gains on discriminative evaluation.

Multimodal diffusion language models generate responses by iteratively unmasking tokens, making each answer the endpoint of a multi-step trajectory rather than an immediate commitment. Hallucination benchmarks built for autoregressive models evaluate only the final output, and therefore cannot determine whether an unsupported claim in diffusion VLMs appears late or has already stabilized before any answer token is revealed. We introduce DynaHall, a trajectory-level benchmark of annotation-backed binary visual propositions covering object existence, counting, attributes, and relations, with controlled hard negatives graded by visual prior. DynaHall is paired with a commitment-aware protocol that records the intermediate answer tendency at every unmasking step alongside the committed output. Across five diffusion VLMs from three architecture families, visual hallucination is settled before commitment: an unsupported answer is already the preferred state while the answer position is still masked, and later unmasking steps rarely reverse it, so the failure is not introduced at the write step. This holds across decoding schedules, answer formats, and open-ended generation. DynaHall also exposes failures hidden by final-output metrics, including counting and relation collapse, prior-driven false positives, and attribute errors whose direction changes by type. Guided by this diagnosis, PGS (Pre-commitment Gradient Steering) edits still-masked answer states to reduce false positives, bringing the affirmation rate close to balance, and transfers to another architecture without degrading general ability. DynaHall and PGS suggest that hallucination should be measured and mitigated along the generation trajectory of diffusion VLMs, not only at the final answer.

Unified vision-language models (VLMs) that tokenize images through a vector-quantized (VQ) codebook routinely hallucinate objects on grounded yes/no benchmarks, yet existing decoding-time fixes treat this as generic miscalibration without an architectural account. Using activation patching across twenty-five models spanning eight LLM families, we identify an early-layer ($L_0$) attention routing circuit shared across VQ-tokenized VLMs and propose a three-gate diagnostic that distinguishes the models carrying it from those that do not. The diagnostic isolates ten positive models (five natural unified-VQ VLMs across three LLM families and five induced variants) and rejects the remaining fifteen. A single-variable architectural swap (LLaVA-1.6 CLIP+MLP $\rightarrow$ VQ+Linear) installs the circuit, while a matched-compute MLP control on identical data does not, isolating vector quantization as the source of the pathological signal; the routing pathway that carries it is one that the backbone already provides. Against tuned VCD and DoLA baselines, tuned DoLA wins on binary calibration, but \textbf{only $L_0$ ablation reduces object hallucination in open-ended generation} (CHAIR$_i$ reduces by $31\,\%$ relatively, whereas tuned DoLA and VCD leave it unchanged or worsen it). These results recast object hallucination in unified VQ VLMs as a property of architecture and pretraining, and yield a targeted intervention that mechanism-agnostic decoding cannot replicate.

Reinforcement learning (RL) is widely used to sharpen reasoning in multimodal large language models (MLLMs), yet its effect on hallucination is uneven. We trace this to two weak points in the \emph{correction chain} from reward to parameter update. At the rollout level, hard queries---those with high semantic entropy---frequently produce unanimously wrong sample groups, collapsing the group-relative advantage to zero exactly where hallucination risk is highest. At the optimization level, confident-but-wrong tokens are gradient-invisible: a categorical policy's expected score-gradient norm vanishes as its distribution sharpens, so the predictions that most need correction receive the weakest updates. We propose Dual-Entropy Enhanced Policy Optimization (DEEPO), a dual-stage enhancement combining signal variance regularization with gradient preconditioning: semantic-entropy-triggered expert prefixes inject grounded continuations on high-uncertainty queries, providing direct supervision and restoring advantage variance, while advantage-sign-aware Renyi preconditioning counteracts logit-level saturation so correction reaches confident errors in the operational confidence regime. Both branches improve over GRPO individually; their interaction is statistically significant on VideoMMMU---the most complex long-horizon task in our evaluation suite (+4.0$, 95% CI [1.1, 6.9])---and additive elsewhere. DEEPO reduces hallucination while preserving accuracy and training stability.

Multimodal large language models generate natural-language responses from visual inputs, yet may mention objects absent from an image. In medication assistance, accessible perception, and environmental decision-making, such hallucinations can create real-world safety risks. We propose Semantic-Spatial Agreement Verification (SSAV), a training-free method for verifying object claims. A visually grounded claim should remain stable across semantically equivalent queries and repeatedly localize to the same image region. SSAV aggregates multiple prompts to estimate semantic support and reduce sensitivity to query wording. Query-Induced Regional Verification (QIRV) combines cross-query region persistence, spatial overlap, and relative candidate dominance to identify isolated high responses and dispersed localizations. A geometric mean fuses semantic and spatial evidence, lowering the verification score when either branch lacks support. Experiments on three base models and multiple evaluation protocols show that SSAV effectively mitigates object hallucination. On LLaVA-1.5-7B, accuracy averaged across COCO, A-OKVQA, and GQA improves by 1.81 and 3.17 percentage points under POPE Popular and Adversarial, respectively, while CHAIRs decreases from 49.40% to 32.80%. These results show that cross-query semantic stability and regional consistency provide interpretable external visual evidence for object claims.

When strong multimodal models are widely available, progress requires new scientific methodologies beyond benchmark scores---using models as instruments for understanding behavior. We address this by asking: can we use large vision-language models (LVLMs) as experimental instruments for studying their own failure dynamics? Focusing on visual hallucination, we introduce SAFE, a training-free decoding framework that contrasts visually-grounded and vision-ablated generation paths to produce a token-level contrastive grounding score that identifies when the model favors linguistic priors over visual evidence. This signal serves dual roles: as a practical proxy for detecting visually-ungrounded tokens, and as the basis for decoding-time penalties. Our analysis yields three empirical observations: visual dependency decays over generation, hallucinations co-occur in temporal clusters, and early intervention reduces clustering without substantially degrading fluency. On MMHalBench, SAFE substantially outperforms all compared baselines; results elsewhere are more mixed. We argue that designing contrastive probes exemplifies a broader mission: using models as instruments for scientific understanding. Code: https://github.com/zhaozhipeng1997/SAFE_public.

Multimodal large language models (MLLMs) have made strong progress on visual question answering and image captioning, yet they still produce fluent claims about objects, attributes, or relations that are not grounded in the image. Many remedies either modify decoding at test time, which adds latency, or fine tune with preferences such as DPO variants, which teach which answer is preferred but not when the model's own answer is unreliable. We argue that calibrated self assessment is the missing signal. We introduce Savor, a training framework that (i) augments the output schema with token and answer confidence, (ii) optimises the policy with a Group Relative Policy Optimisation (GRPO) objective that penalises calibration error and poor abstention decisions, and (iii) uses the learned confidence at inference time to revisit visual evidence only when the model is uncertain. Experiments on POPE, HallusionBench, AMBER and MMHal-Bench across two recent backbones (InternVL3-8B and Qwen3-VL-8B) show that Savor reduces hallucination while preserving general capability on MME and MMBench, with lower Expected Calibration Error than DPO and decoding baselines.

Recent inference-time hallucination mitigation methods for large vision-language models (LVLMs) report strong gains on hallucination benchmarks. However, it remains unclear whether lower hallucination scores reflect improved multimodal grounding or more conservative generation. We evaluate six mitigation methods across three LVLMs and four benchmarks, including hallucination-focused evaluation and the diverse capability benchmark MMStar. Our analysis reveals two consistent patterns. First, hallucination reduction is often coupled with reduced informativeness: methods that lower hallucination rates also reduce object recall, visual coverage, or response detailedness. Second, improvements on hallucination benchmarks do not reliably transfer to broader multimodal capabilities, with methods showing inconsistent or degraded performance on fine-grained perception and reasoning tasks. Our findings suggest that current evaluation protocols may overestimate progress by rewarding conservative generation. We argue that hallucination mitigation should be evaluated as a faithfulness--informativeness--capability trade-off rather than through hallucination scores alone.

Large Vision-Language Models (LVLMs) have achieved strong multimodal performance, yet ensuring the factual correctness of generated content remains challenging. Existing methods that provide statistical guarantees on factuality typically rely on external verifiers or generation-time confidence signals, which introduce auxiliary dependencies or often fail for confident but incorrect outputs. We argue that reliable factuality control can instead be achieved through introspective signals derived from the model itself. We introduce IntroConformal, a training-free Conformal Risk Control (CRC) framework that provides finite-sample, distribution-free factuality guarantees. We first instantiate it with layer-wise semantic stability, a conformity score derived from hidden-state representations, and then propose verification probability, a stronger score capturing the model's self-administered judgment on claim factuality. Across multiple LVLM architectures, IntroConformal satisfies the conformal risk guarantee while substantially reducing abstention and achieving competitive or superior claim-level discrimination relative to external verifier-based baselines.

Existing research on object hallucination in multimodal large language models (MLLMs) predominantly attributes the problem to language priors such as over-reliance on textual co-occurrence statistics. We challenge this view by presenting quantitative evidence for a complementary, under-explored cause: visual-origin hallucination, where hallucinations arise from incorrect visual feature extraction and misalignment between image and text embeddings. Through cosine similarity analysis and Smooth Grad-CAM entropy measurements, we show that hallucinated samples exhibit systematically lower image-text similarity (average 0.158 vs. -0.122) and inverted attention patterns, where attention is dispersed when the target object is present but wrongly concentrated when it is absent. Guided by this diagnosis, we propose Adversarial Contrastive Fine-Tuning (ACFT). ACFT uses an Adversarial Hallucination Attribute Flipping (AHAF) procedure, involving minimal, targeted adversarial perturbations that flip an image's hallucination attribute, to construct perfectly aligned positive-negative pairs, which are then used for contrastive fine-tuning. AHAF simultaneously serves as a diagnostic probe, revealing that MLLM visual representations lie dangerously close to hallucination decision boundaries. Requiring only 0.9% of the COCO dataset and adding zero inference overhead, ACFT achieves state-of-the-art performance on POPE, MME, and four description-level hallucination benchmarks across LLaVA, MiniGPT-4, and Qwen2.5-VL. Code is available at https://github.com/zxp555/ACFT_MM

Large Vision-Language Models (LVLMs) achieve strong performance across many multimodal tasks; however, they often exploit spurious object-background correlations, resulting in predictions driven by contextual shortcuts rather than object-relevant visual evidence. Despite growing interest in hallucination and robustness evaluation, existing benchmarks provide limited control over whether model predictions are grounded in the target object or induced by correlated background cues. In this work, we introduce PURGE (\underline{P}artition-aware \underline{U}nlearning for \underline{R}emoving spurious-correlation \underline{G}enerated \underline{E}rrors), a framework for constructing, benchmarking, and mitigating spurious-correlation-induced failures in LVLMs. The framework consists of: -- (1) Structured dataset construction wherein we develop three complementary structured data construction strategies that partition examples by object-relevant evidence and spurious background cues, enabling controlled diagnosis of shortcut reliance; and -- (2) Partition-aware unlearning, which uses these partitions to selectively remove spurious object-background associations while preserving object-based reasoning. We evaluate the \algo~framework across multiple LVLMs, including LLaVA-1.6-7B, Qwen3-VL-8B-Instruct, and Qwen3.5-9B, together with CLIP as a vision-language encoder, on a diverse suite of benchmarks, including CHAIR, POPE, Causal-HalBench, MM-SpuBench, AMBER, MMHal, and Waterbirds. Our results show that PURGE consistently reduces hallucinations and spurious-correlation-driven errors while maintaining or improving overall performance in most evaluated settings, providing both a reusable evaluation protocol and an effective mitigation framework for more reliable LVLMs.

Large Vision-Language Models (LVLMs) are prone to hallucinations: they fluently describe objects, attributes, and scenes that are not in the image. We connect part of this failure to a measurable property of their representations, feature instability, where mild semantics-preserving perturbations of the input cause large changes in the learned embeddings; hallucination rates rise together with this variability. Existing stability-motivated remedies are explicit, in the sense that they intervene at inference time through latent steering or constrained decoding, and pay for it on every query. We propose implicit stabilization instead: perturbation-invariance is built into the model weights during fine-tuning, and nothing extra runs at deployment. Our framework, INFUSE, first stabilizes visual and textual representations around perturbation-averaged and ground-truth anchors, then aligns the stabilized representations across modalities with bidirectional contrastive objectives. We prove that the anchor's root-mean-square deviation from the perturbation-mean representation shrinks at rate $1/\sqrt{K}$ in the number of views, and that under a Lipschitz decoder, this bounds how much any perturbation can change the model's hallucination behavior. On LLaVA-1.5, LLaVA-1.6, and Qwen3-VL-8B-Instruct, INFUSE reduces AMBER CHAIR by 46-63% relative to each base model, improves ObjHal, MMHal, HallusionBench, and POPE, and preserves VQA-v2 and TextVQA, all with no inference-time overhead.

Object hallucination in multimodal large language models arises when language priors and corpus co-occurrence bias outweigh the visual evidence, with nothing tying an individual object mention to what the image shows. Most remedies intervene at decoding time without training, yet under a unified protocol their benefit is confined to short captions;supervised fine-tuning (SFT) on a detail- rich corpus lengthens captions, but over forty percent still name absent objects. This paper proposes Dual-Stream Cross-Anchor Correction (DSCC). Unlike work that post-processes decoding, DSCC is the first to inject object-level visual anchors into the language model itself during fine- tuning: a perception stream aligns object-level hidden states at an intermediate layer to frozen text anchors by a bidirectional contrastive objective; a cognition stream lets deeper layers query those anchors by cross-attention at every generation step; and a two-stage curriculum gate couplesthem, making evidence retrieval a structural constraint at each autoregressive step. Under one backbone and one scoring protocol, experiments span long-caption hallucination, object-existence discrimination and cross-domain generalisation, with vanilla SFT on the same corpus and schedule as a length- and density-matched control, so gains are attributed layer by layer. DSCC is the only method reaching the long-caption, low-hallucination region: captions roughly 1.9 times the baseline length at 88.19% precision per object mention, the highest under a density-independent criterion. Ablations expose a synergy: the perception stream alone degrades precision yet reverses sign when stacked on the cognition stream. No universal superiority is claimed: three out-of- domain benchmarks yield a predictable, falsifiable domain-conditionality, the synergy being bound to the anchors' semantic domain and breaking on charts and optical illusions.

Multimodal large language models (MLLMs) have made rapid progress, yet they still exhibit object hallucination, generating plausible but incorrect descriptions that are inconsistent with the visual input. Direct Preference Optimization (DPO) mitigates this by training models to prefer non-hallucinated responses over hallucinated ones, and recent efforts further enrich the preference data with relevant context. However, it remains unclear whether DPO actually leverages such context. To investigate this, we propose Contextual Preference Gain (CPG), a simple metric that measures how much a model's preference strengthens when relevant context is provided. We find that higher CPG consistently corresponds to lower hallucination, yet standard DPO and its variants exhibit only limited CPG, indicating that they underutilize contextual information and thus remain prone to hallucination. To address this, we propose Context-Calibrated DPO (C$^2$-DPO), which directly maximizes CPG while preserving the original preference ordering. Across multiple benchmarks, C$^2$-DPO substantially reduces hallucination without compromising general reasoning, relatively reducing the Object HalBench hallucination rate of Qwen2-VL-Instruct-2B by 36%. Code is available at https://github.com/mlvlab/C2-DPO

Object Hallucination in large vision-language models (LVLMs), where models generate non-factual content about input images, remains a critical barrier to their reliability in real-world applications. Existing mitigation strategies can be categorized into training-based and training-free methods. Training-based methods often achieve strong performance but are costly, requiring extensive computational resources, large-scale data, and time-consuming fine-tuning. Training-free approaches are particularly appealing due to their efficiency. However, existing training-free methods either require multiple decoding rounds, which adds computational overhead, or modify internal states in a model-specific way that risks degrading pretrained knowledge. We propose Test-Time Hallucination Mitigation (TTH) method, a novel training-free method that addresses both limitations. TTH introduces a token-validator module, implemented as a zero-shot Multi-Modal Classifier (MMC), to generate auxiliary logits grounded in the input image. These logits are fused with the original LVLM outputs at the token level for object tokens selected from a candidate pool. An entropy-based weighting scheme is then applied to enable robust and accurate predictions. Extensive experiments across multiple LVLM families and diverse benchmarks demonstrate that TTH consistently improves accuracy and robustness, underscoring its generalizability and practical effectiveness. Code is released at https://github.com/Mehran-TAM/TTH

Attribute hallucination---where vision-language models (VLMs) correctly identify an object but mischaracterize its properties---is prevalent yet mechanistically poorly understood. The dominant explanation, language-prior dominance, has motivated prior-suppression methods, but this explanation has not been directly tested at the attribute level. We present VISOR (Visual-Operational Remediation), a unified framework that couples null-image-based diagnosis with routed remediation. Its VSNR diagnostic decomposes each prediction into a visual logit signal and a language-prior signal. Across 10,791 negative-ground-truth samples from three VLM families and three attribute types, the visual signal strongly predicts false positives, whereas the language-prior signal is near chance. VISOR uses this diagnosis to separate two failure modes: low-margin but directionally correct visual signals in color/state attributes, and low-SNR or misaligned visual signals in material attributes. The same diagnosis routes each query to the appropriate operator: calibration for threshold-placement errors, abstention for training-free low-SNR handling, or targeted visual adaptation for material failures that prior suppression cannot correct. Across Qwen, InternVL, and LLaVA, VISOR reduces attribute false positives without relying on the prior-dominance assumption.

Reinforcement Fine-Tuning (RFT) has enabled medical Multimodal Large Language Models (MLLMs) to produce Chain-of-Thought (CoT) reasoning for visual question answering, yet these models suffer from $\textit{confidence miscalibration}$---a systematic gap between expressed certainty and actual diagnostic accuracy that undermines clinical trust. We propose $\textbf{CARE}$, a $\textbf{C}$onfidence-$\textbf{A}$ware medical $\textbf{RE}$asoning framework that jointly optimizes accuracy and calibration through a dual-stage pipeline. First, a scalable Medical-CoT synthesis provides structured cold-start data for Supervised Fine-Tuning. Second, Group Relative Policy Optimization (GRPO) with a novel $\textbf{Confidence-Aware Reward (CAR)}$ mechanism ties the model's confidence to diagnostic correctness within the reward signal. Across three Medical VQA benchmarks, $\textbf{CARE}$ achieves the highest diagnostic accuracy while obtaining the lowest Expected Calibration Error and Hallucination Rate, establishing a foundation for trustworthy clinical decision support. Our code is available at https://github.com/anotherbricki/CARE.

Large Vision-Language Models (LVLMs) achieve impressive visual reasoning and dialogue capabilities, yet frequently hallucinate content unsupported by the visual input. Effective mitigation requires token-level localization, enabling targeted intervention without discarding the entire response. Existing detectors require expensive full-model fine-tuning, rely on external verifiers that ignore the model's generation process, or reduce internal signals to isolated features and hand-crafted statistics, discarding spatial, sequential, and relational structure. We introduce \textbf{UniProbe}, a lightweight, unified, learnable detector that models a frozen LVLM's heterogeneous computational trace from a single forward pass. UniProbe constructs a directed graph over image patches, query tokens, and generated tokens, with attention weights encoding their relations. It processes this trace with alternating structure-aware modules: a GNN for relational evidence, a ViT for 2-D visual geometry, and a GRU for response order. Interleaving them allows spatial, relational, and sequential evidence to interact throughout the detector. We further develop a streaming variant for hallucination-aware decoding, which detects and resamples hallucinated tokens during generation, and a self-adaptation strategy aligning the detector with the LVLM's own generations. Across diverse LVLM backbones, UniProbe achieves state-of-the-art token-level and object-hallucination detection. During decoding, it reduces object hallucinations by up to 55% at $1.06\times$ the latency of standard generation.

GUI agents are shifting from metadata-dependent large language models to purely visual multimodal large language models (MLLMs) that operate directly on screenshots. The core task, GUI grounding, requires translating abstract user instructions into precise element coordinates. This task faces a persistent dual obstacle: conventional grounding models lack the semantic richness to interpret abstract instructions, while end-to-end MLLMs suffer from coordinate hallucinations caused by deficient fine-grained perception. We propose a regression-free framework where a frozen MLLM performs instruction parsing and a dedicated grounding model handles precise localization without learning any coordinate regression. A frozen MLLM first elaborates the abstract instruction into a structured visual description rich in layout cues. These descriptions are then fed to a novel Layout-Aware GUI Grounding Model, which performs regression-free localization by matching against layout-prior candidates, inherently suppressing hallucinations and avoiding expensive fine-tuning. The grounding model is trained with only Text/Icon binary labels, requiring no coordinate regression parameters. On ScreenSpot-Pro, our method achieves over 20% improvement in grounding accuracy over end-to-end systems; on Mind2Web, it raises success rate and element selection rate by more than 15%. These results demonstrate that decoupling instruction understanding from layout-aware localization effectively resolves the core challenges of GUI interaction.

Recent advances in large vision-language models (LVLMs) have enabled powerful multimodal reasoning by integrating visual encoders with large language models (LLMs). However, their reliability is frequently undermined by hallucinations, where generated text inaccurately describes the visual input. Although fine-tuning can mitigate this problem, it is computationally expensive and requires large, curated datasets, making training-free alternatives attractive. Among these, model editing is more promising than decoding-based approaches: decoding methods adapt outputs per input but introduce computational overhead and instability, whereas model editing modifies internal representations offline, providing a more efficient and stable solution. However, existing model-editing techniques typically rely on a single global subspace to correct hallucinations, treating all test samples identically and failing to capture diverse hallucination modes across inputs. To address this limitation, we propose a training-free hallucination mitigation framework for dynamic, per-instance suppression at test time. Our method first constructs a set of Disentangled Hallucination Subspaces, each isolating a distinct hallucination mode. During inference, the model adaptively calculates weights reflecting each input's relationship to these subspaces, guiding a dynamically combined projection that selectively suppresses the most probable hallucination directions while preserving image-grounded semantics. Extensive experiments across multiple vision-language benchmarks and LVLM families demonstrate consistent improvements, highlighting the robustness, generalizability, and efficiency of our approach.

Large vision-language models (LVLMs) have demonstrated strong performance in open-ended video understanding, yet they remain prone to fluent responses unsupported by video evidence. Existing training-free methods typically apply a globally fixed visual intervention or construct a contrastive branch through input perturbation. The former cannot accommodate video-dependent fusion paths, while the latter can be compensated by cross-frame redundancy. We therefore propose Video-Adaptive Debiasing via Evidence Reweighting (VADER), a training-free framework with two complementary modules. Visual Focus Reallocation (VFR) automatically instantiates an intervention policy for each video-question input: it diagnoses layer-wise visual-to-text evidence flow, determines where to intervene, and derives how strongly to reallocate pre-softmax attention from system-token to video-token blocks. Selective Evidence Erasure (SEE) independently masks high-importance visual tokens in every frame, constructing a prior-biased branch that is difficult to compensate through neighboring frames. Contrastive decoding then down-weights predictions that remain confident after selective evidence erasure. Across multiple VideoLLMs, VADER yields substantial improvements on event-level grounding and temporal consistency; on LLaVA-Video-7B, it reaches 72.60% accuracy on EventHallusion.

Vision-language models (VLMs) excel at open-ended captioning and visual QA but often describe objects, attributes, or relations absent from the image, a phenomenon known as object hallucination. We propose a {training-free, post-hoc representation editing technique} that operates in the representation space of the language backbone. The method performs a lightweight, one-time offline calibration on a modest paired dataset to estimate the required covariance structures, using only forward passes and empirical second-order statistics with no gradient updates or fine-tuning, after which the correction is absorbed directly into the model's existing weights. By modeling hidden states as a superposition of truthful and hallucination-associated components, we derive a Wiener-type estimator whose optimal gains are given in closed form from the covariances of paired truthful and hallucinated representations. An eigendecomposition yields mode-wise attenuation that respects a stability criterion, i.e., the filter responds continuously to estimation noise. The correction is applied once to the feed-forward output projections of selected deeper layers, at inference time, the model runs unchanged and at the same speed. Experiments on LLaVA-1.5, MiniGPT-4, Gemma3, and mPLUG-Owl2 demonstrate consistent reductions in object hallucination on CHAIR, POPE, and MME while maintaining caption fluency and overall response quality. We further demonstrate the generality of our approach on the TempCompass video understanding benchmark and on discrete diffusion language models for grounded dialogue, showing that representation filtering reduces hallucinations even in temporal video reasoning and multi-step, sequence-wide denoising settings.

Large Vision-Language Models (LVLMs) often suffer from object hallucination, generating objects that are absent from the image. Prior work largely attributes this to insufficient visual attention. However, we find that both real and hallucinated objects receive equally strong visual attention in the model's mid-to-late layers, suggesting that the key issue may not be how much the model attends, but what it attends to and why. To this end, we decode the visual features of high-attention regions using Logit Lens, and observe that regions corresponding to real objects can be correctly decoded to the target object tokens, whereas those for hallucinated objects cannot. Building on this, we identify two hallucination mechanisms: (i) visual uncertainty, triggered by semantically similar or confusable regions; masking these regions eliminates the hallucination. (ii) contextual prior, triggered by strong co-occurrence priors; even when the initially attended region is masked, the hallucination persists and attention drifts to other regions. Based on these findings, we propose a simple yet effective training-free Detect-Mitigate framework comprising a Logit-Lens Consistency Check to detect hallucination and targeted remedies: High-Attention Regions Masking (HARM) for visual uncertainty hallucination, and Visual Evidence Enhanced Decoding (VEED) for contextual prior hallucination. Our approach achieves state-of-the-art results on multiple hallucination benchmarks. Code will be available.

Commercial vision-language models are reshaping computer vision, with visual priors broad enough to rival task-specific systems. This raises a natural question: do they reduce the need for classic, physics-informed low-level vision? We study this through shadow removal, a problem shaped by scene geometry, illumination, materials, and occluders, where paired shadow and shadow-free data are hard to collect at scale. We find that a commercial generative editor, used directly, can produce clean shadow-free edits that preserve surface texture and local appearance. However, this comes with a new failure mode: the same editor can regenerate scene content, hallucinate objects, or misread a shadow as material or geometry, producing plausible but physically wrong edits. We address this with an agentic candidate-selection pipeline: the editor generates a guided probe, an evaluator screens for major failures, retries when needed, samples multiple candidates, filters them, and selects a final result balancing shadow removal against scene preservation. Grounding this process in shadow-formation physics makes it more reliable: prompting the generator and evaluator to treat shadows as illumination effects caused by light occlusion, not material or object structure, measurably improves quality and consistency. On the ShadowRemovalRefine benchmark, our physics-oriented pipeline achieves a CDD of 0.0075, reducing CDD by at least 47% over the strongest prior method. These results suggest that commercial vision-language models do not replace classic low-level vision priors; instead, such priors remain useful for constraining and steering physically underconstrained generation.

We tackle the challenging yet underexplored task of Generalized Referring Expression Comprehension (GREC), which requires a model to localize the object described by a textual expression when it exists (positive sample) and to refuse output when it does not (negative sample). Although Multimodal Large Language Models (MLLMs) excel at localizing existing objects, they often fail to reject nonexistent ones due to the absence of negative samples during training, producing hallucinated bounding boxes. Existing post-training approaches such as supervised fine-tuning (SFT) and reinforcement learning (RL) enhance refusal behavior but usually degrade localization accuracy on positive samples, undermining the model's core competence. To address this, we propose Refusal-Calibrated Group Relative Policy Optimization (RC-GRPO), a calibrated RL strategy that strengthens the refusal ability of MLLMs while preserving localization performance. It enforces "None" outputs in rollouts for valid advantage estimation on negative samples and applies a penalty to prevent over-refusal on positives, achieving a balanced trade-off between accuracy and reliability. A second-stage reasoning reinforcement further consolidates causal understanding and interpretability. Experiments on three GREC benchmarks demonstrate that RC-GRPO attains superior localization accuracy while maintaining strong refusal capability.