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My HomeAssistant is running on Unraid but I have an old NVIDIA Quadro P5000. I really want to run a vision model so that it can describe who is at my doorbell.
Oh actually that's a great card for LLM serving!
Use the llama.cpp server from source, it has better support for Pascal cards than anything else:
https://github.com/ggml-org/llama.cpp/blob/master/docs/multimodal.md
Gemma 3 is a hair too big (like 17-18GB), so I'd start with InternVL 14B Q5K XL: https://huggingface.co/unsloth/InternVL3-14B-Instruct-GGUF
Or Mixtral 24B IQ4_XS for more 'text' intelligence than vision: https://huggingface.co/unsloth/Mistral-Small-3.2-24B-Instruct-2506-GGUF
I'm a bit 'behind' on the vision model scene, so I can look around more if they don't feel sufficient, or walk you through setting up the llama.cpp server. Basically it provides an endpoint which you can hit with the same API as ChatGPT.