Most medical AI benchmarks measure whether a model knows the correct answer. MedFailBench asks a different question: which safety boundary failed? We present a clinician-built synthetic benchmark and failure atlas that labels medical AI errors by severity (1--5) and safety gate type (missed urgent escalation, unsafe remote dosing, unsafe discharge reassurance, evidence fabrication, unsafe protocol execution, source support gap). The current public release (v0.2.1) contains 44 clinician-reviewed synthetic cases with severity annotations, a live HuggingFace leaderboard preview, a safety gate taxonomy, a clinical severity rubric, and an automated pipeline for archiving model-response screening runs. No patient data, clinical validation claims, or model rankings are included. MedFailBench is released under Apache-2.0 and CC-BY-4.0 and carries the Zenodo DOI 10.5281/zenodo.21205535.

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