<?xml version="1.0" encoding="UTF-8"?><own:edgarSubmission xmlns:com="http://www.sec.gov/edgar/common" xmlns:own="http://www.sec.gov/edgar/ownership">
  <!-- Generated by Workiva -->
  <own:headerData>
    <own:submissionType>144</own:submissionType>
    <own:filerInfo>
      <own:filer>
        <own:filerCredentials>
          <own:cik>0001114357</own:cik>
          <own:ccc>XXXXXXXX</own:ccc>
        </own:filerCredentials>
      </own:filer>
      <own:liveTestFlag>LIVE</own:liveTestFlag>



    </own:filerInfo>
  </own:headerData>
  <own:formData>
    <own:issuerInfo>
      <own:issuerCik>0001717115</own:issuerCik>
      <own:issuerName>Tempus AI, Inc.</own:issuerName>
      <own:secFileNumber>001-42130</own:secFileNumber>
      <own:issuerAddress>
        <com:street1>600 W. Chicago Ave., Suite 510</com:street1>
        <com:city>Chicago</com:city>
        <com:stateOrCountry>IL</com:stateOrCountry>
        <com:zipCode>60654</com:zipCode>
      </own:issuerAddress>
      <own:issuerContactPhone>800-976-5448</own:issuerContactPhone>
      <own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Eric Lefkofsky</own:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
      <own:relationshipsToIssuer>
        <own:relationshipToIssuer>Officer</own:relationshipToIssuer>
        <own:relationshipToIssuer>Director</own:relationshipToIssuer>
        <own:relationshipToIssuer>10% Stockholder</own:relationshipToIssuer>
      </own:relationshipsToIssuer>
    </own:issuerInfo>
    <own:securitiesInformation>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:brokerOrMarketmakerDetails>
        <own:name>J.P. Morgan Securities LLC</own:name>
        <own:address>
          <com:street1>270 Park Avenue - 10th Floor</com:street1>
          <com:city>New York</com:city>
          <com:stateOrCountry>NY</com:stateOrCountry>
          <com:zipCode>10017</com:zipCode>
        </own:address>
      </own:brokerOrMarketmakerDetails>
      <own:noOfUnitsSold>166250</own:noOfUnitsSold>
      <own:aggregateMarketValue>8758050</own:aggregateMarketValue>
      <own:noOfUnitsOutstanding>173729901</own:noOfUnitsOutstanding>
      <own:approxSaleDate>04/28/2026</own:approxSaleDate>
      <own:securitiesExchangeName>Nasdaq</own:securitiesExchangeName>
    </own:securitiesInformation>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:acquiredDate>02/05/2025</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Stock Compensation</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>40207</own:amountOfSecuritiesAcquired>
      <own:paymentDate>02/05/2025</own:paymentDate>
      <own:natureOfPayment>Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:acquiredDate>01/31/2025</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Stock Compensation</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>92793</own:amountOfSecuritiesAcquired>
      <own:paymentDate>01/31/2025</own:paymentDate>
      <own:natureOfPayment>Compensation</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:securitiesToBeSold>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:acquiredDate>09/14/2017</own:acquiredDate>
      <own:natureOfAcquisitionTransaction>Direct Investment</own:natureOfAcquisitionTransaction>
      <own:nameOfPersonfromWhomAcquired>Issuer</own:nameOfPersonfromWhomAcquired>
      <own:isGiftTransaction>N</own:isGiftTransaction>
      <own:amountOfSecuritiesAcquired>33250</own:amountOfSecuritiesAcquired>
      <own:paymentDate>09/14/2017</own:paymentDate>
      <own:natureOfPayment>Cash</own:natureOfPayment>
    </own:securitiesToBeSold>
    <own:nothingToReportFlagOnSecuritiesSoldInPast3Months>N</own:nothingToReportFlagOnSecuritiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Eric Lefkofsky</own:name>
        <own:address>
          <com:street1>Care of Tempus AI, Inc</com:street1>
          <com:street2>600 West Chicago Avenue, Suite 510</com:street2>
          <com:city>Chicago</com:city>
          <com:stateOrCountry>IL</com:stateOrCountry>
          <com:zipCode>60654</com:zipCode>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:saleDate>02/18/2026</own:saleDate>
      <own:amountOfSecuritiesSold>13587</own:amountOfSecuritiesSold>
      <own:grossProceeds>802324</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Blue Media, LLC</own:name>
        <own:address>
          <com:street1>Care of Tempus AI, Inc</com:street1>
          <com:street2>600 West Chicago Avenue, Suite 510</com:street2>
          <com:city>Chicago</com:city>
          <com:stateOrCountry>IL</com:stateOrCountry>
          <com:zipCode>60654</com:zipCode>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:saleDate>02/19/2026</own:saleDate>
      <own:amountOfSecuritiesSold>133000</own:amountOfSecuritiesSold>
      <own:grossProceeds>7830258</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Blue Media, LLC</own:name>
        <own:address>
          <com:street1>Care of Tempus AI, Inc</com:street1>
          <com:street2>600 West Chicago Avenue, Suite 510</com:street2>
          <com:city>Chicago</com:city>
          <com:stateOrCountry>IL</com:stateOrCountry>
          <com:zipCode>60654</com:zipCode>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:saleDate>03/26/2026</own:saleDate>
      <own:amountOfSecuritiesSold>133000</own:amountOfSecuritiesSold>
      <own:grossProceeds>6169148.87</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Gray Media, LLC</own:name>
        <own:address>
          <com:street1>Care of Tempus AI, Inc</com:street1>
          <com:street2>600 West Chicago Avenue, Suite 510</com:street2>
          <com:city>Chicago</com:city>
          <com:stateOrCountry>IL</com:stateOrCountry>
          <com:zipCode>60654</com:zipCode>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:saleDate>02/19/2026</own:saleDate>
      <own:amountOfSecuritiesSold>33250</own:amountOfSecuritiesSold>
      <own:grossProceeds>1957564</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:securitiesSoldInPast3Months>
      <own:sellerDetails>
        <own:name>Gray Media, LLC</own:name>
        <own:address>
          <com:street1>Care of Tempus AI, Inc</com:street1>
          <com:street2>600 West Chicago Avenue, Suite 510</com:street2>
          <com:city>Chicago</com:city>
          <com:stateOrCountry>IL</com:stateOrCountry>
          <com:zipCode>60654</com:zipCode>
        </own:address>
      </own:sellerDetails>
      <own:securitiesClassTitle>Class A Common</own:securitiesClassTitle>
      <own:saleDate>03/26/2026</own:saleDate>
      <own:amountOfSecuritiesSold>33250</own:amountOfSecuritiesSold>
      <own:grossProceeds>1542287.22</own:grossProceeds>
    </own:securitiesSoldInPast3Months>
    <own:remarks>This form relates to sales by Blue Media, LLC (133,000 shares) and Gray Media, LLC (33,250 shares), of which Mr. Lefkofsky is the sole manager.</own:remarks>
    <own:noticeSignature>
      <own:noticeDate>04/28/2026</own:noticeDate>
      <own:planAdoptionDates>
        <own:planAdoptionDate>03/04/2025</own:planAdoptionDate>
      </own:planAdoptionDates>
      <own:signature>/s/ J.P. Morgan Securities LLC as agent and attorney-in-fact for Eric Lefkofsky</own:signature>
    </own:noticeSignature>
  </own:formData>
</own:edgarSubmission>