These are the best medium format cameras with 4K video, chosen for their ability to merge the unparalleled image quality of medium format sensors with advanced video capabilities for hybrid creators. Medium format has long been associated with fine art, fashion, and commercial photography, offering incredible resolution, tonal depth, and dynamic range. Traditionally, these cameras were focused solely on stills, catering to photographers who demanded the ultimate in detail and color accuracy. But in recent years, several medium format models have embraced 4K video recording, giving professionals the chance to harness the aesthetic qualities of a larger sensor in motion work. This hybrid evolution makes medium format not just a stills powerhouse but also a compelling tool for cinematic video production. Hybrid design meets professional cinema needs. Medium format bodies such as the Fujifilm GFX100S, GFX100 II, and GFX50S II offer familiar DSLR-style or rangefinder-style ergonomics while packing sensors nearly 1.7x larger than full-frame. Their designs remain relatively portable compared to traditional medium format systems, making them practical for both studio and location shooting. These cameras combine the heritage of medium format craftsmanship with modern video tools, appealing to professionals who need uncompromising quality across both photo and video workflows. Medium format sensors deliver cinematic depth and dynamic range. The core advantage of medium format in video is its sensor size. Cameras like the GFX100S and GFX100 II feature 102MP large-format sensors that can oversample or downsample to create stunningly detailed 4K video. This translates into footage with exceptional color depth, smooth tonal transitions, and a natural shallow depth of field that rivals high-end cinema cameras. Even the more affordable GFX50S II, with its 50MP sensor, produces 4K video with rich detail and dynamic range, offering filmmakers a unique aesthetic distinct from smaller formats. Film simulations and color science enhance storytelling. Fujifilm’s medium format lineup carries over its celebrated film simulations, giving video creators cinematic looks straight out of camera. Eterna, a profile designed for video, provides muted contrast and soft colors ideal for narrative work, while simulations like Classic Chrome or Provia offer stylized looks without extensive post-production. For professionals working on fashion films, commercial shoots, or artistic projects, these profiles provide an efficient path to polished, cinematic results. Professional video features support serious filmmaking. Medium format cameras with 4K video are not just about image quality—they also deliver the features professionals expect. The GFX100 II, for example, supports 4K/60p, ProRes internal recording, F-Log2 for extended dynamic range, and 10-bit 4:2:2 output via HDMI. Autofocus systems include face and eye detection, crucial for interviews and portrait-style filmmaking, while tools like focus peaking, zebra warnings, and waveform monitoring ensure precise control over exposure and focus. This feature set makes medium format viable not only for fine art video but also for commercial and cinematic productions. Lens versatility broadens creative options. The Fujifilm GFX system offers a growing lineup of GF lenses designed for medium format, from fast primes like the GF 80mm f/1.7 to wide-angle options like the GF 23mm f/4. These lenses allow filmmakers to explore unique perspectives with minimal distortion and exceptional optical quality. While medium format lenses are typically larger and slower to focus than their full-frame counterparts, their rendering quality and depth make them desirable for high-end productions. Weather resistance and durability support professional use. Many medium format cameras with 4K video are built to handle demanding environments. The GFX100S and GFX100 II feature weather sealing, allowing outdoor video shoots in rain, dust, or humidity without compromise. Their robust construction ensures reliability during commercial sets, travel filmmaking, or documentary projects where conditions can be unpredictable. Workflow integration and connectivity streamline production. Medium format cameras now feature modern connectivity options like USB-C, Wi-Fi, and Bluetooth for transferring files and powering workflows on the go. For studio productions, tethering support ensures immediate review of both stills and video. Features like dual card slots and compatibility with external recorders provide redundancy and flexibility for demanding shoots. Limitations inspire intentional filmmaking. Medium format systems come with certain constraints, such as limited recording times, slower autofocus compared to smaller sensor systems, and larger file sizes. Yet these limitations often encourage filmmakers to approach projects with greater intention—focusing on composition, lighting, and storytelling rather than speed. For many professionals, this fosters a cinematic discipline that aligns perfectly with the artistry medium format is known for. Whether you’re a fine art filmmaker, a commercial videographer, or a hybrid creator seeking the ultimate image quality in motion, the best medium format cameras with 4K video deliver an unmatched blend of resolution, dynamic range, and cinematic depth. They prove that medium format is no longer confined to stills—it has become a powerful tool for visual storytellers across both photography and video.