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Admissions21 June 2026·5 min read

GAMSAT vs MCAT: what's the difference?

GAMSAT and MCAT are different admissions tests for different places. Here's how they compare — and how to know which one you actually need.

The GAMSAT and the MCAT are both gateways to medical school, but they're run by different organisations, for different countries, and they reward different things. The short version: which one you sit is decided by where you're applying, not by preference.

Who uses which

GAMSAT
MCAT
Run by
ACER
AAMC
Used in
AU, UK, Ireland
US, Canada
Sections
3 (incl. 2 essays)
4 multiple-choice
Score range
0–100 (most 40–80)
472–528
Essay
Yes (Section II)
No
Different bodies, countries and emphases — prepare for the one your schools require.

If you're applying to graduate-entry medicine in Australia, the UK or Ireland, the GAMSAT is almost certainly your test. For US or Canadian medical schools, it's the MCAT.

What they actually test

  • GAMSAT has three sections: reasoning in humanities & social sciences, written communication (two essays), and reasoning in biological & physical sciences. It leans hard on reasoning and includes writing.
  • MCAT has four multiple-choice sections spanning biology/biochemistry, chemistry/physics, psychology/sociology, and critical analysis & reasoning. It leans more on content knowledge across a year or more of prerequisite science — and has no essay.

The practical differences

  • The MCAT is longer and more content-heavy, assuming specific prerequisite coursework.
  • The GAMSAT is shorter, more reasoning-driven, and tests writing — so you can do well from a non-science background if you build the foundations.
  • Their scores aren't interchangeable, and you sit whichever your target schools require.

Prepare for the one you're sitting

Because they reward different things, prep doesn't transfer cleanly. If it's the GAMSAT, build reasoning under time and practise the essays. See how the GAMSAT is structured and scored to start in the right place.

Key takeaways

  • Which test you sit is decided by where you apply — GAMSAT for AU/UK/Ireland, MCAT for US/Canada.
  • GAMSAT is reasoning-heavy and includes essays; MCAT is content-heavy with no essay.
  • The MCAT is longer and assumes prerequisite coursework.
  • Scores aren't interchangeable; prepare for the one your schools require.

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