Multimodal large language models (MLLMs) are currently at the center of research attention, showing rapid progress in scale and capabilities, yet their intelligence, limitations, and risks remain insufficiently understood. To address these issues, particularly in the context of the Russian language, where no multimodal benchmarks currently exist, we introduce MERA Multi, an open multimodal evaluation framework for Russian-spoken architectures. The benchmark is instruction-based and encompasses default text, image, audio, and video modalities, comprising 18 newly constructed evaluation tasks for both general-purpose models and modality-specific architectures (image-to-text, video-to-text, and audio-to-text). Our contributions include: (i) a universal taxonomy of multimodal abilities; (ii) 18 datasets created entirely from scratch with attention to Russian cultural and linguistic specificity, unified prompts, and metrics; (iii) baseline results for both closed-source and open-source models; (iv) a methodology for preventing benchmark leakage, including watermarking for private sets. While our current focus is on Russian, the proposed benchmark provides a replicable methodology for constructing multimodal benchmarks in typologically diverse languages, particularly within the Slavic language family.

Though Large Vision-Language Models (LVLMs) are being actively explored in medicine, their ability to conduct complex real-world telemedicine consultations combining accurate diagnosis with professional dialogue remains underexplored. This paper presents 3MDBench (Medical Multimodal Multi-agent Dialogue Benchmark), an open-source framework for simulating and evaluating LVLM-driven telemedical consultations. 3MDBench simulates patient variability through temperament-based Patient Agent and evaluates diagnostic accuracy and dialogue quality via Assessor Agent. It includes 2996 cases across 34 diagnoses from real-world telemedicine interactions, combining textual and image-based data. The experimental study compares diagnostic strategies for widely used open and closed-source LVLMs. We demonstrate that multimodal dialogue with internal reasoning improves F1 score by 6.5% over non-dialogue settings, highlighting the importance of context-aware, information-seeking questioning. Moreover, injecting predictions from a diagnostic convolutional neural network into the LVLM’s context boosts F1 by up to 20%. Source code is available at https://github.com/univanxx/3mdbench.