Why Image Hallucination Is More Dangerous Than Text Hallucination

We’ve spent a lot of time talking about text hallucinations.
But image hallucination is a very different and often more dangerous problem.

In vision-language systems, hallucination isn’t about plausible lies.
It’s about inventing visual reality.

Examples:

  • Describing people who aren’t there
  • Assigning attributes that don’t exist
  • Inferring actions that never happened

As these models are deployed for:

E-commerce product listings
Accessibility captions
Document extraction
Medical imaging workflows

…the cost of hallucination changes from “wrong answer” to “real-world consequence.”

The issue is that most evaluation pipelines are still text-first.
They score fluency, relevance, or similarity but never verify whether the image actually supports the description.

Image hallucination requires multimodal evaluation:

  • Compare generated text against visual evidence
  • Reason about object presence, attributes, and relationships
  • Detect contradictions between image and output

This isn’t a niche problem.
It’s an emerging reliability gap as vision models move into production.

Curious how others are approaching hallucination detection for image-based systems.

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