Large language models (LLMs) have emerged as a candidate ‘model organism’ for human language, offering an unprecedented opportunity to study the computational basis of linguistic disorders like aphasia. However, traditional clinical assessments are ill-suited for LLMs, as they presuppose human-like pragmatic pressures and probe cognitive processes not inherent to artificial architectures. We introduce the Text Aphasia Battery (TAB), a text-only benchmark adapted from the Quick Aphasia Battery (QAB) to assess aphasic-like deficits in LLMs. The TAB comprises four subtests: Connected Text, Word Comprehension, Sentence Comprehension, and Repetition. This paper details the TAB’s design, subtests, and scoring criteria. To facilitate large-scale use, we validate an automated evaluation protocol using Gemini 2.5 Flash, which achieves reliability comparable to expert human raters (prevalence-weighted Cohen’s k=0.255 for model–consensus agreement vs. 0.286 for human–human agreement). We release TAB as a clinically-grounded, scalable framework for analyzing language deficits in artificial systems.

Human listeners readily adjust to unfamiliar speakers and language varieties through exposure, but do these adaptation benefits extend to state-of-the-art spoken language models (SLMs)? We introduce a scalable framework that allows for in-context learning (ICL) in Phi-4 Multimodal (Phi-4-MM) using interleaved task prompts and audio-text pairs, and find that as few as 12 example utterances (~50 seconds) at inference time reduce word error rates by a relative 19.7% (1.2 pp.) on average across diverse English corpora. These improvements are most pronounced in low-resource varieties, when the context and target speaker match, and when more examples are provided—though scaling our procedure yields diminishing marginal returns to context length. Overall, we find that our novel ICL adaptation scheme (1) reveals a similar performance profile to human listeners, and (2) demonstrates consistent improvements to automatic speech recognition (ASR) robustness across diverse speakers and language backgrounds. While adaptation succeeds broadly, significant gaps remain for certain varieties, revealing where current models still fall short of human flexibility. We release our prompts and code on GitHub.