Despite Southeast Asia’s (SEA) extraordinary linguistic and cultural diversity, the region remains significantly underrepresented in vision-language (VL) research, resulting in AI models that inadequately capture SEA cultural nuances. To fill this gap, we present SEA-VL, an open-source initiative dedicated to developing culturally relevant high-quality datasets for SEA languages. By involving contributors from SEA countries, SEA-VL ensures better cultural relevance and diversity, fostering greater inclusivity of underrepresented languages and cultural depictions in VL research. Our methodology employed three approaches: community-driven crowdsourcing with SEA contributors, automated image crawling, and synthetic image generation. We evaluated each method’s effectiveness in capturing cultural relevance. We found that image crawling achieves approximately ~85% cultural relevance while being more cost- and time-efficient than crowdsourcing, whereas synthetic image generation failed to accurately reflect SEA cultural nuances and contexts. Collectively, we gathered 1.28 million SEA culturally relevant images, more than 50 times larger than other existing datasets. This work bridges the representation gap in SEA, establishes a foundation for developing culturally aware AI systems for this region, and provides a replicable framework for addressing representation gaps in other underrepresented regions.

As large language models (LLMs) are adapted to sensitive domains such as medicine, their fluency raises safety risks, particularly regarding provenance and accountability. Watermarking embeds detectable patterns to mitigate these risks, yet its reliability in medical contexts remains untested. Existing benchmarks focus on detection-quality tradeoffs and overlook factual risks. In medical text, watermarking often reweights low-entropy tokens, which are highly predictable and often carry critical medical terminology. Shifting these tokens can cause inaccuracy and hallucinations, risks that prior general-domain benchmarks fail to capture.We propose a medical-focused evaluation workflow that jointly assesses factual accuracy and coherence. Using GPT-Judger and further human validation, we introduce the Factuality-Weighted Score (FWS), a composite metric prioritizing factual accuracy beyond coherence to guide watermarking deployment in medical domains. Our evaluation shows current watermarking methods substantially compromise medical factuality, with entropy shifts degrading medical entity representation. These findings underscore the need for domain-aware watermarking approaches that preserve the integrity of medical content.