What’s in a Name? Morphological Shortcuts by LLMs in Pharmacology

Kaijie Mo, Thomas Yang, Chantal Shaib, Qing Yao, William Rudman, Ramez Kouzy, Kanishka Misra, Byron C Wallace, Junyi Jessy Li


Abstract
The morphological form of a word can often give cues to its meaning, but purely relying on these mappings can lead to overgeneralization in high-stakes domains. In the medical domain, for instance, LLMs can confidently reason about fictitious drugs from their affixes alone (e.g., wugcillin) and generate plausible-looking clinical content. We present a behavioral and mechanistic study of LLM ”affix heuristics” in pharmacology. Using fictitious drug names built from real affixes, we show that affix signals alone elicit class-level pharmacological responses. We introduce a framework for identifying whether a model’s drug semantics are driven mainly by the affix, the stem, or the drug name as a whole. Applied across 653 drugs, our framework reveals that models often induce drug meaning primarily through affix cues, yet rarely explicitly indicate this reliance, and sometimes incorrectly conflate properties among affix-sharing drugs. Activation patching across models further localizes this behavior to early-mid layers. These findings show that morphological shortcuts pose a subtle but measurable risk to safety.
Anthology ID:
2026.emnlp-main.1646
Volume:
Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Hung-Yi Lee, Sunipa Dev, Jessy Li, Desmond Elliott
Venue:
EMNLP
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SIGDAT
Publisher:
Association for Computational Linguistics
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Pages:
37411–37434
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URL:
https://aclanthology.org/2026.emnlp-main.1646/
DOI:
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Cite (ACL):
Kaijie Mo, Thomas Yang, Chantal Shaib, Qing Yao, William Rudman, Ramez Kouzy, Kanishka Misra, Byron C Wallace, and Junyi Jessy Li. 2026. What’s in a Name? Morphological Shortcuts by LLMs in Pharmacology. In Proceedings of the 2026 Conference on Empirical Methods in Natural Language Processing, pages 37411–37434, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
What’s in a Name? Morphological Shortcuts by LLMs in Pharmacology (Mo et al., EMNLP 2026)
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PDF:
https://aclanthology.org/2026.emnlp-main.1646.pdf