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GAMSAT Scores & Results Guide

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Confused by your GAMSAT ® scores or waiting on GAMSAT ® results ? This guide explains how GAMSAT ® scoring works: ACER reports three scaled section scores plus an overall GAMSAT ® score on a 0–100 scale, not percentage marks. You will also receive an approximate percentile chart for self-comparison, but universities use section and overall scores — not percentiles — and set their own cutoffs each year.

Use this page to interpret your GAMSAT ® score report, calculate the standard overall score, understand what a good GAMSAT ® score looks like, check results release timing for 2026, and decide when to read the deeper graduate-entry medicine admissions guide for school-specific GAMSAT ® cutoffs.

  1. GAMSAT ® scores explained: raw scores, scaled scores, percentiles
  2. How are GAMSAT ® Results Calculated?
  3. When are GAMSAT ® results released?
  4. What is a good GAMSAT ® score?
  5. GAMSAT ® Score Cutoffs - Australian Graduate Medical Schools
  6. GAMSAT ® Pass Rate
  7. Medical School Applications and Entry Requirements
  8. Improving your GAMSAT ® score - Free Resources
  9. GAMSAT ® scores FAQs
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GAMSAT ® results can be hard to decipher. If you’re completely lost about scaled scores, percentiles, or score cutoffs, our expert tutors, Kayley and Siena, have summarised the core points in this GAMSAT ® results video guide.

GAMSAT Scores Explained: Raw Scores, Scaled Scores, Percentiles

It’s easy to confuse GAMSAT ® marks, raw scores, scaled scores, percentiles, and medical school cutoffs. The important distinction is that your official GAMSAT ® results are scaled scores, and those scores are what admissions teams assess.

Your raw score is the number of questions you answered correctly in each multiple-choice section. ACER does not release raw scores, and trying to calculate them during the exam is not useful. Instead, when GAMSAT ® results are released, you receive a GAMSAT ® score for each section and an overall score. These are scaled scores: ACER uses psychometric methods to account for differences in test difficulty across sittings and test forms, so results remain comparable. This scaling is explained further below: How are GAMSAT ® Results Calculated?

The percentile graph that is released with your scores depicts how your GAMSAT ® scores relate to the performance of the cohort who took the same sitting as you, and this graph can fluctuate between sittings - This is explained further in the section below. Sample GAMSAT Statement of Results scorecard showing individual section scores and an overall calculated score

How to read your GAMSAT score report

Your ACER Statement of Results gives you four key numbers: Section I, Section II, Section III, and the overall GAMSAT ® score. Use them in this order:

  1. Check whether every section meets the minimum threshold for your target universities. Many schools require at least 50 in each section, but current school rules should always be checked through GEMSAS and individual university guides.
  2. Compare the overall GAMSAT ® score with the weighting method used by your target schools. The standard ACER formula double-weights Section III, but some universities use an unweighted average or individual section ranking.
  3. Use the percentile chart only as context for the sitting cohort. Percentiles help you interpret performance, but they are not the admissions score universities use.
  4. Save a copy of your score report and check result validity rules before each application cycle.

Now these scores you receive may not be quite what you are expecting. It may be that you are certain that you got essentially every question in the test itself correct, but having received your GAMSAT ® results, they are not nearly as high as you expected - It’s important to remember that these are not your raw scores but your scaled GAMSAT ® scores. It may be that a large proportion of applicants did very well and so to ensure that the scores are nicely distributed, they will be scaled up and down. These scores are expressed on a scale of 0 to 100 but the calculations conducted by ACER means that these scores are not evenly spread out between 0 and 100 - This is where the percentile curve becomes useful for correlating GAMSAT ® results to percentiles. Percentiles are not used in your application, however they are a great way for you to interpret your score as they will give you a sense of comparatively how well you did on the day.

A useful summary of the differences between these different concepts is provided in the table below:

GAMSAT Scores, Raw Scores & Percentiles Explained:

Description
Raw Scores The number (or percentage) of questions you got correct in each section - This is not released or provided by ACER, and it’s a common pitfall for students to waste time in the GAMSAT ® exam trying to calculate this.
GAMSAT scores A scaled version of your raw scores that takes into account the performance of other students as well as the difficulty of the particular sitting you took - This is calculated using techniques based on Item Response Theory.
Percentiles You’ll receive a percentile graph with your results that allows you to compare your scaled overall score with other candidates from the same GAMSAT ® sitting.

What do your GAMSAT Results mean?

Your GAMSAT ® scores are what Universities will use to rank your application, and will ultimately help decide if you have a place in their Graduate Entry Medicine Course - Universities will not use your raw scores or percentile ranking.

For the majority of medical schools, a score of at least 50 in all 3 sections is required. Most medical schools will simply use the overall GAMSAT ® score ( as calculated by ACER ) as part of the admissions criteria, but some will use the individual section scores. Some universities apply a different weighting to ACER and take the simple average of all 3 sections, whilst the University of Sydney is unique in that they do not use an overall score but rather rank students by each section of the GAMSAT ® exam. For further details, read this section below.

Previously, GAMSAT ® results are only valid for 2 years, but in November 2022, ACER announced that GAMSAT ® results will henceforth be valid for 4 years. For more information about what this means for your GAMSAT ® preparation and medical school application, visit our GAMSAT ® 2026 dates and result validity.

Why can your GAMSAT score vary between sittings?

ACER scales GAMSAT ® scores so results remain comparable across sittings and test forms. That comparability is important because one test form can be more difficult than another, and raw scores alone may not reflect both candidate ability and item difficulty.

A number of variables are involved in calculating your GAMSAT ® score, so your scaled score may vary across sittings even if your remembered raw performance feels similar. Variables that can affect the final scaled result include:

ACER's GAMSAT ® results guidance explains this as an equity measure: scaled scores allow universities to compare candidates who sat different versions of the test. For this reason, focus on the official scaled section and overall scores, not on a reconstructed raw mark.

How are GAMSAT Results Calculated?

You receive a GAMSAT ® score for each section when results are released. This is not your raw score or a percentage mark. ACER transforms raw performance into scaled section scores so different test forms and sittings can be compared fairly.

The standard overall GAMSAT ® score is a weighted average of the three section scores:

GAMSAT ® results formula

  • Overall Score = (1 x Section I + 1 x Section II + 2 x Section III) / 4
  • This standard formula gives Section III, Reasoning in Biological and Physical Sciences, twice the weight of Section I and Section II.
  • Some universities use their own admissions method, such as an unweighted average or individual section ranking. Always check current university and GEMSAS rules.

Most Australian medical schools use either the overall GAMSAT ® score or the three individual section scores as part of admissions. For current school-specific weighting, minimum section thresholds, and exceptions such as the University of Sydney's section-level ranking, use the graduate entry medicine requirements guide alongside official university admissions pages.

GAMSAT ® score calculator examples

A GAMSAT ® score calculator can estimate the standard overall score if you already know your three section scores. Treat the result as an estimate: ACER states that the overall score is calculated before rounded section scores are displayed, so candidates cannot perfectly recreate every decimal and rounding step from the published section scores.

Example Formula Approximate overall score
Standard ACER weighting (73 + 71 + 2 x 66) / 4 69
Unweighted average used by some schools (73 + 71 + 66) / 3 70

For admissions planning, pair the calculated score with your target school’s current rules. A score that looks strong under the standard formula may be assessed differently by a school using section ranking, GPA bonuses, rural sub-quotas, or interview weighting.

What is Item Response Theory?

As noted above, your GAMSAT ® score is not the number or percentage of questions you answered correctly. ACER describes the reported GAMSAT ® scores as scaled scores: raw performance is transformed so candidates who sit different test forms can still be compared on the same 0–100 score scale.

In practical terms, Item Response Theory and related psychometric scaling help account for:

  • differences in test form difficulty
  • differences in item difficulty within each section
  • candidate performance across the sitting cohort

This is why two candidates with the same raw number of correct answers may not necessarily receive the same scaled score if they sat different test forms. It is also why a raw-score estimate from memory after the exam is not a reliable GAMSAT ® score calculator.

ACER does not publish individual raw scores or the full scoring conversion process. For official wording on scaled scores, percentile charts, and score use, refer to the ACER GAMSAT ® results page.

When are GAMSAT results released?

The GAMSAT ® exam runs across two sittings each year. ACER publishes official GAMSAT ® results release timing for each cycle; for 2026, ACER lists March results for late May and September results for mid November. Candidates are notified by email when their Statement of Results is available in their ACER account.

The dates below give sitting and results context, but treat ACER as the source of truth for any changed release window:

2026 GAMSAT ® Exam Dates

March GAMSAT ® exam September GAMSAT ® exam
Test Date Written Communication:
28 February – 1 March 2026
Humanities and Biological Sciences:
20–22 March 2026
Written Communication:
22–23 August 2026
Humanities and Biological Sciences:
11–13 September 2026
Registration Opens November 2025 May 2026
Registration Closes Monday 26 January 2026
9pm AEDT
10am GMT
Tuesday 30 June 2026
10pm AEST
1pm BST
Late Registration Closure Thursday 5 February 2026
9pm AEDT
10am GMT
Monday 13 July 2026
10pm AEST
1pm BST
Refund/Deferral Request Closure Thursday 5 February 2026
9pm AEDT
10am GMT
Monday 13 July 2026
10pm AEST
1pm BST
Cost AUD$568 AUD$568
Late Fee AUD$114 AUD$114
Results Available Late May 2026 Mid November 2026

GAMSAT ® Results are generally released about 2 months after sitting the exam - Around late May for the March sitting and mid-November for the September Sitting.

To learn more about how GAMSAT Results are calculated and see a list of past release dates visit our guide: Understanding your GAMSAT ® Results.

To learn more about sitting the GAMSAT ® Exam in 2026, visit our guide to everything you need to know for the GAMSAT ® 2026.

Past GAMSAT Results Release Dates

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Year
Year
March GAMSAT ® exam
March GAMSAT<sup> ®</sup> exam
September GAMSAT ® exam
September GAMSAT<sup> ®</sup> exam
2026
2026
May 20, 2026
May 20, 2026
TBC
TBC
2025
2025
May 21, 2025
May 21, 2025
November 18, 2025
November 18, 2025
2024
2024
May 17, 2024
May 17, 2024
November 12, 2024
November 12, 2024
2023
2023
May 19, 2023
May 19, 2023
November 14, 2023
November 14, 2023
2022
2022
May 18, 2022
May 18, 2022
November 18, 2022
November 18, 2022
2021
2021
May 18, 2021
May 18, 2021
November 15 2021
November 15 2021
2020
2020
July 2, 2020 (May Sitting)
July 2, 2020 (May Sitting)
November 16, 2020
November 16, 2020
2019
2019
May 10, 2019
May 10, 2019
November 8, 2019
November 8, 2019
2018
2018
May 18, 2018
May 18, 2018
November 8, 2018
November 8, 2018
2017
2017
May 18, 2017
May 18, 2017
November 10, 2017
November 10, 2017
2016
2016
May 12, 2016
May 12, 2016
November 10, 2016
November 10, 2016
2015
2015
May 11, 2015
May 11, 2015
November 12, 2015
November 12, 2015
2014
2014
May 16, 2014
May 16, 2014
November 18, 2014
November 18, 2014
2013
2013
May 17, 2013
May 17, 2013
November 19, 2013
November 19, 2013
2012
2012
May 18, 2012
May 18, 2012
November 22, 2012
November 22, 2012

Naturally, once you have the GAMSAT ® Exam out of the way, your thoughts will shift to your impending results - The fruits of all your labours and what will ultimately decide what you do over the coming twelve months and beyond.

Because GAMSAT ® scores are individual, and in the interests of protecting individual privacies, ACER will contact you personally when results come out. You can expect to receive an email through the address that you registered with when you applied to sit the GAMSAT ® exam. This email will contain instructions and a personalised link to access your results online.

When you follow your instructions, you will be taken to your personalised scorecard that will display your individual section marks as well as your overall calculated score.

Sample GAMSAT Statement of Results scorecard showing individual section scores and an overall calculated score

In case of any updates or changes, it's best to consult the ACER Website for up-to-date information.

What is a good GAMSAT score?

A good GAMSAT ® score depends on the medical schools you are applying to, your GPA, interview pathway, place type, and the strength of that year’s applicant pool. As a broad interpretation guide, the 50th percentile often sits in the high 50s, a score in the low-to-mid 60s is commonly treated as competitive, and scores above 70 are usually very strong. For the March 2026 sitting, the average overall score was 58, a score of 63 sat around the 75th percentile, and a score of 73 sat around the 98th percentile.

March 2026 GAMSAT Exam - Average, Good and High Scores

Overall Score Percentile Result
58
50 th
Average
63
75 th
Generally Good*
73
98 th
Very High
*As always, whether or not a score is considered ‘good enough’ depends on the cutoffs for the Medical Schools you intend to apply to. Check the relevant institution and GEMSAS websites for current details.

Average GAMSAT score versus competitive GAMSAT score

An average GAMSAT ® score tells you where the middle of the sitting cohort sits. A competitive GAMSAT ® score tells you whether your result is likely to support an interview or offer at your target medical schools. Those are different questions. A candidate with a strong GPA, rural eligibility, or bonuses may not need the same GAMSAT ® score as a candidate applying through a highly competitive standard pathway.

Use the percentile curve to understand relative performance, then use the GAMSAT ® score cutoffs and the graduate entry medicine requirements guide to interpret score competitiveness for specific schools.

What is the GAMSAT Percentile Curve?

The GAMSAT ® percentile curve shows approximately how your overall score compares with other candidates from the same sitting. It is a useful interpretation tool, but it is not a separate admissions score and it should not be used as a substitute for section or overall score requirements.

March 2026 GAMSAT Exam Percentile Curve

Graph showing the GAMSAT percentile distribution curve, illustrating how individual scores rank against all candidates

ACER provides an approximate percentile chart with GAMSAT ® results. Read the curve this way:

  1. Find your overall GAMSAT ® score on the score axis.
  2. Match it to the approximate percentile shown for that sitting.
  3. Remember that the same score can map to a slightly different percentile in another sitting because the cohort and test forms differ.
  4. Use percentiles for self-comparison only; universities consider section and overall scores.

What this means is that most candidates cluster around the middle of the curve, near the 50 th percentile, with increasingly fewer the farther you go in each direction. This has implications for your marks. In the lower third of the curve three marks might be the difference between the 20 th percentile and the 40 th percentile. So too in the top third. However in the middle third, three marks might be the difference between the 50 th percentile and the 55 th .

This is most easily visualised with an example of the curve as seen above. You can also review the score distribution curve below.

One of the best things about GradReady’s Online GAMSAT ® Practice Exams and live Mock Exam day are that they actually provide you with an Overall Percentile Score as well as individual breakdowns for each Section. Your performance is analysed and compared to thousands of other GradReady Students past and present, letting you know how you stack up.

You can try out our industry-leading online LMS for yourself with our GAMSAT ® Free Trial, which includes access to 40 MCQs and a Diagnostic Exam along with a wealth of other free GAMSAT ® resources.

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March 2026 GAMSAT Score Distribution Curve

Graph showing the GAMSAT score distribution curve for a recent exam sitting

Do I need 65+ on the GAMSAT to get into medicine?

Naturally, medical schools in Australia cannot accept every applicant, so candidates often ask whether they need 65+ or 70+ on the GAMSAT ®. A score above the sitting average is helpful, and scores in the mid-60s or higher are often competitive, but there is no universal GAMSAT ® score that guarantees medicine entry.

You might often hear that a good score on the GAMSAT ® is over 65, but it’s important to note that this really depends on what university course you want to get into and the cutoffs themselves fluctuate from year to year. As such, it’s not really accurate to say that there is a universal GAMSAT ® Score that can be deemed to be ‘good enough’ to get into any medical school of your choosing and the magical figure of 65 can be a little misleading.

It is important to note the difference between minimum cut off scores and competitive cut off scores. Minimum cut off scores refer to the minimum score that the university has set for you to be considered as an interview candidate. In most cases, the genuine cut off is 50. On the other hand, the competitive cut off scores is the score that gets spoken about. This is the score that many consider necessary to secure yourself an interview as it is very competitive - you might hear this as a score over 65 or a score over 70. However, this does not mean that you cannot get in with a score of less than 65 as what defines a good GAMSAT ® result will ultimately depend on factors such as your GPA, your medical school interview score, the medical institution you intend to apply to, the place you’re willing to accept (e.g. CSP vs BMP ), and any additional bonuses such as having lived rurally. You can find further information of past cutoffs in the section below, GAMSAT ® Score Cutoffs , as well as further details on our Guide to Graduate Medical School Entry Requirements in Australia. Nevertheless, it’s always best to check with the relevant medical school for further details.

What is the highest possible GAMSAT ® score?

Naturally, the theoretical top overall score is 100, however only the top 0.1% of students will score over 80. If you hear fellow students stating that they scored an almost impossibly high score of 98 or 100, in most cases they are referring to a rounded percentile score rather than the overall score. Nevertheless, there are always a few students each sitting who score 100 in a particular section.

GAMSAT Score Cutoffs - Is my GAMSAT Score Good Enough?

There are currently 14 Medical Schools that provide a Graduate Entry Medical Program, 12 of which require a GAMSAT ® score (or MCAT ® Score for international students).

To get a list of these schools and learn more about admissions requirements, visit our overview of the Medical School Applications: Australian Medical Schools - Graduate Entry Medicine.

To get an idea of the GAMSAT ® score required for acceptance at different medical schools, check out the table below.

GAMSAT Cutoffs - Australian Graduate Entry Medical Schools

Table of GAMSAT score cutoffs for Australian graduate-entry medical schools, compiled from official data and student-reported information Note: Although some universities release official GAMSAT ® average and minimum scores for each year, the majority do not. As such, this data is based on a combination of officially available information and information collated from forums such as Reddit. Unless indicated otherwise, the scores below relate to CSP places and exclude rural and sub-quota places.

Note that USyd will rank students by each section of the GAMSAT ® exam. This means that USyd will not look at overall or average GAMSAT ® scores in the ranking of applicants. It’s important to note as well that the exact method used to combine and rank students has not been provided. Students must still meet a minimum score of 50 in each section (except for Aboriginal and Torres Strait Islander applicants). For the GPA, standard applicants will be required to have a minimum of 5, and rural applicants a minimum of 4.5. USyd have now released a 2027 Admissions Guide and you can find a summary of the changes on our guide here: Australian Medical Admissions Guide.

It's important to note that your GAMSAT ® Score only makes up one component of your application, and there are various other factors that need to be considered. For more information, you can refer to our guide on the different Admissions Criteria and Weightings for graduate entry medical schools around Australia: Australian Medical Schools: Entry Requirements.

As always, it’s best to get in contact with the relevant medical institutions for further details - The above table is meant to serve as a guide and does not replace the personal responsibility of each applicant to obtain up-to-date and objective information from medical institutions regarding their medical school applications.

GAMSAT Pass Rate

Strictly speaking, there is no official GAMSAT ® pass rate because the exam is not marked as pass or fail. ACER reports scaled scores, and medical schools decide how those scores are used for eligibility, interview ranking, or offer ranking.

What does “passing the GAMSAT” usually mean?

In everyday student language, “passing” often means reaching a minimum section threshold such as 50 in each section. That is only a baseline eligibility concept, not a guarantee of interview or entry. A candidate can meet minimum GAMSAT ® score requirements and still be below a competitive cutoff once GPA, interviews, bonuses, quotas, and school preferences are considered.

A better question is: “What GAMSAT ® score is competitive for my target schools this year?” Use the cutoff section below as a starting point, then verify current admissions rules through GEMSAS GAMSAT ® guidance and each university.

Medical School Applications and Entry Requirements

Currency of GAMSAT ® Results

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Application Details
Application Details
Valid Results
Valid Results
Apply 2026 for 2027 Commencement
Apply 2026 for 2027 Commencement
March GAMSAT ®: 2023, 2024, 2025, 2026 September GAMSAT ®: 2022, 2023, 2024, 2025
March GAMSAT ®: 2023, 2024, 2025, 2026
September GAMSAT ®: 2022, 2023, 2024, 2025
Apply 2027 for 2028 Commencement
Apply 2027 for 2028 Commencement
March GAMSAT ®: 2024, 2025, 2026, 2027 September GAMSAT ®: 2023, 2024, 2025, 2026
March GAMSAT ®: 2024, 2025, 2026, 2027
September GAMSAT ®: 2023, 2024, 2025, 2026
Apply 2028 for 2029 Commencement
Apply 2028 for 2029 Commencement
March GAMSAT ®: 2025, 2026, 2027, 2028 September GAMSAT ®: 2024, 2025, 2026, 2027
March GAMSAT ®: 2025, 2026, 2027, 2028
September GAMSAT ®: 2024, 2025, 2026, 2027

Results from a September Sitting cannot be used for an application in that same year for commencement in the subsequent year. For example, if you sit the September 2026 GAMSAT ® Exam, you will be able to use the results of this exam for application in 2027 for a program commencing in 2028, for application in 2028 for a program starting in 2029, for application in 2029 for a program starting in 2030, and for application in 2030 for a program starting in 2031. You won't be able to use this result for an application in 2026 for 2027 entry. This is because medical school applications, which require submission of GAMSAT ® scores, start around May with offers for interviews being made from August to September.

In November 2022, ACER announced that your GAMSAT ® results are now valid for four years. Previously, results were only valid for two years. This change is backdated, so GAMSAT ® exam results from September 2022 can be used for medical schools application in 2026 with a 2027 start.

Note that the above information is specific to Australian universities and the details may differ, particularly for students based in the UK. To learn more about sitting the GAMSAT ® Exam this year, read the ACER Information Booklet.

To learn more about how GAMSAT ® Scores are actually calculated, visit our guide: Understanding your GAMSAT ® Scores.

To learn more about applying for Graduate Entry Medical Schools in Australia and the different admissions criteria and weightings, visit our guide: Australian Medical Schools - Entry Requirements.

Improving your GAMSAT ® score — free resources

Once you understand GAMSAT ® scoring and have a target overall score, use these guides to plan the next sit or strengthen a weak section:

  1. Medical school entry requirements

    How Australian graduate-entry schools use GAMSAT ® scores alongside GPA and interviews.

  2. How to study for the GAMSAT ® exam

    Overall preparation strategy if you are targeting a higher score.

  3. GAMSAT ® study schedule

    Planner and timelines for a rematch sit.

  4. How to prepare for GAMSAT ® Section 1

    Humanities and social-sciences reasoning.

  5. How to prepare for GAMSAT ® Section 2

    Written communication and essay technique.

  6. How to prepare for GAMSAT ® Section 3

    Science section strategy (double-weighted in the overall formula).

  7. Free online GAMSAT ® practice test

    Timed practice under exam-like conditions before you re-sit.

  8. Pathways to medicine in Australia

    Undergraduate vs graduate routes and where GAMSAT ® sits in the process.

  9. MMI interview guide

    Multiple Mini Interview format, station types, and how to prepare once you have an interview offer.

  10. GAMSAT ® for non-science backgrounds

    How arts and humanities section scores can buffer Section 3 under different school weightings.

  11. GAMSAT ® — 10-year retrospective review

    Academic analysis of candidate result patterns (historical cohort; not a substitute for current ACER scoring rules).

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GAMSAT ® scores FAQs

What do your GAMSAT ® scores mean?

Your GAMSAT ® scores are scaled scores from 0 to 100, not percentage marks. The three section scores show your performance in each exam section, while the overall GAMSAT ® score summarises performance under the standard ACER weighting.

How do I read my GAMSAT ® results?

Start with the section scores, then the overall score, then the percentile chart. Section scores matter because many medical schools set minimum thresholds. The overall score matters because many schools use it for ranking. The percentile chart helps you compare your result with the same sitting cohort, but universities do not use percentile ranking as the admissions score.

Can I calculate my exact GAMSAT ® score?

You can estimate the standard overall score from your displayed section scores, but you cannot perfectly recreate ACER's exact calculation because the overall score is calculated before rounded section scores are displayed. Use a GAMSAT ® score calculator as a planning guide, not as an official result.

What is a good GAMSAT ® score for medicine?

There is no single good GAMSAT ® score for every applicant. Scores in the low-to-mid 60s are often competitive and scores above 70 are usually very strong, but your target score depends on GPA, school weighting, interviews, place type, bonuses, rural eligibility, and the applicant cohort.

Do universities use GAMSAT ® percentiles?

Universities use GAMSAT ® section and overall scores, not the approximate percentile ranking. Percentiles are still useful for understanding how your score compared with the sitting cohort.

How long are GAMSAT ® results valid?

ACER announced in November 2022 that GAMSAT ® results are generally valid for four years. Application-year timing and individual university exceptions can still matter, so check current GEMSAS and university guidance before applying.

Is there a GAMSAT ® pass rate?

No official GAMSAT ® pass rate exists because GAMSAT ® is not a pass-fail exam. A score of 50 in each section is a common minimum threshold, but competitive medicine entry depends on each school's full admissions criteria.