# SAGE: Sink-Aware Grounded Decoding for Multimodal Hallucination Mitigation

arXiv: https://arxiv.org/abs/2603.27898 · HTML: https://mlsanity.com/paper/2603.27898/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Hallucination mitigation in LVLMs, one of 16 directions in Multimodal LLMs / vision-language models.
- Builds on 54 of its 60 references that are in the map.
- First posted on arXiv 29 Mar 2026.

## Placed in

- Multimodal LLMs / vision-language models / [Hallucination mitigation in LVLMs](https://mlsanity.com/mllm/hallucination-mitigation-in-lvlms/)

## Builds on (most cited first, 30 of 54)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Judging LLM-as-a-Judge with MT-Bench and Chatbot Arena](https://mlsanity.com/paper/2306.05685/) (2023)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [BLIP-2: Bootstrapping Language-Image Pre-training with Frozen Image Encoders and Large Language Models](https://mlsanity.com/paper/2301.12597/) (2023)
- [Improved Baselines with Visual Instruction Tuning](https://mlsanity.com/paper/2310.03744/) (2023)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models](https://mlsanity.com/paper/2304.10592/) (2023)
- [Efficient Streaming Language Models with Attention Sinks](https://mlsanity.com/paper/2309.17453/) (2023)
- [DeepSeek-Coder: When the Large Language Model Meets Programming -- The Rise of Code Intelligence](https://mlsanity.com/paper/2401.14196/) (2024)
- [Vision Transformers Need Registers](https://mlsanity.com/paper/2309.16588/) (2023)
- [Mitigating Object Hallucinations in Large Vision-Language Models through Visual Contrastive Decoding](https://mlsanity.com/paper/2311.16922/) (2023)
- [Object Hallucination in Image Captioning](https://mlsanity.com/paper/1809.02156/) (2018)
- [OPERA: Alleviating Hallucination in Multi-Modal Large Language Models via Over-Trust Penalty and Retrospection-Allocation](https://mlsanity.com/paper/2311.17911/) (2023)
- [Mitigating Hallucination in Large Multi-Modal Models via Robust Instruction Tuning](https://mlsanity.com/paper/2306.14565/) (2023)
- [A Survey on Hallucination in Large Vision-Language Models](https://mlsanity.com/paper/2402.00253/) (2024)
- [Massive Activations in Large Language Models](https://mlsanity.com/paper/2402.17762/) (2024)
- [Woodpecker: Hallucination Correction for Multimodal Large Language Models](https://mlsanity.com/paper/2310.16045/) (2023)
- [Beyond Hallucinations: Enhancing LVLMs through Hallucination-Aware Direct Preference Optimization](https://mlsanity.com/paper/2311.16839/) (2023)
- [Paying More Attention to Image: A Training-Free Method for Alleviating Hallucination in LVLMs](https://mlsanity.com/paper/2407.21771/) (2024)
- [MLLMs Know Where to Look: Training-free Perception of Small Visual Details with Multimodal LLMs](https://mlsanity.com/paper/2502.17422/) (2025)
- [HALC: Object Hallucination Reduction via Adaptive Focal-Contrast Decoding](https://mlsanity.com/paper/2403.00425/) (2024)
- [Devils in Middle Layers of Large Vision-Language Models: Interpreting, Detecting and Mitigating Object Hallucinations via Attention Lens](https://mlsanity.com/paper/2411.16724/) (2024)
- [See What You Are Told: Visual Attention Sink in Large Multimodal Models](https://mlsanity.com/paper/2503.03321/) (2025)
- [Why do LLMs attend to the first token?](https://mlsanity.com/paper/2504.02732/) (2025)
- [Hallucination Augmented Contrastive Learning for Multimodal Large Language Model](https://mlsanity.com/paper/2312.06968/) (2023)
- [IBD: Alleviating Hallucinations in Large Vision-Language Models via Image-Biased Decoding](https://mlsanity.com/paper/2402.18476/) (2024)

## Built on by (most cited first, 2 of 2)

- [Attention Sink in Transformers: A Survey on Utilization, Interpretation, and Mitigation](https://mlsanity.com/paper/2604.10098/) (2026)
- [Attention Sinks in VLMs Are Borrowed, Not Seen](https://mlsanity.com/paper/2610.15855/) (2026)

## Abstract (arXiv)

Large vision-language models (VLMs) frequently suffer from hallucinations, generating content that is inconsistent with visual inputs. Existing methods typically address this problem through post-hoc filtering, additional training objectives, or external verification, but they do not intervene during the decoding process when hallucinations arise. In this work, we introduce SAGE, a Sink-Aware Grounded Decoding framework that mitigates hallucinations by dynamically modulating self-attention during generation. Hallucinations are strongly correlated with attention sink tokens - punctuation or function tokens that accumulate disproportionate attention despite carrying limited semantic content. SAGE leverages these tokens as anchors to monitor grounding reliability in real time. At each sink trigger, the method extracts semantic concepts from the generated sequence, estimates their visual grounding using both self-attention maps and gradient-based attribution, and measures their spatial agreement. Based on this signal, self-attention distributions are adaptively sharpened or broadened to reinforce grounded regions or suppress unreliable ones. Extensive experiments across diverse hallucination benchmarks demonstrate that SAGE consistently outperforms existing decoding strategies, achieving substantial reductions in hallucination while preserving descriptive coverage, without requiring model retraining or architectural modifications. Our method achieves an average relative improvement of 10.65% on MSCOCO and 7.19% on AMBER across diverse VLM architectures, demonstrating consistent gains in hallucination mitigation.