Data as of Oct 28, 2026.
GDX vs XLV: Differences, Returns & Fees
Over the year to Oct 28, 2026, GDX returned +19.0% to XLV's +25.6%, and XLV charges 0.08% to GDX's 0.51%.
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Net assets on Oct 27, 2026: $25.6bn for VanEck Gold Miners ETF and $47.0bn for State Street Health Care Select Sector SPDR ETF.
Pair scorecard
XLV costs 0.43 points a year less; their one-year returns differ by 6.6 points; XLV is 1.8 times larger.
| Measure | GDX | XLV |
|---|---|---|
| Return | ||
| Total return, 1 year | +19.0% | +25.6% |
| Drawdown | ||
| Below its all-time high | 27.5%, high on Feb 27, 2026 | |
| Against its benchmark | ||
| What it tracks | Gold miners | Health Care Select Sector Index |
| Against its benchmark, 1 year | ahead by 5.6 pts | |
| Cost and size | ||
| Expense ratio | 0.51% | 0.08% |
| Net assets, as of Oct 27, 2026 | $25.6bn | $47.0bn |
| Holdings | ||
| Holdings in common | 0% | |
| Top ten holdings, share of the fund | 60% | 60.6% |
Holdings in common uses holdings dated Oct 27, 2026. Method
What they share
By the books each fund has filed, GDX and XLV hold 0% of their money in the same securities at the same weight. Holdings dated Oct 27, 2026.
half
0% in common
Only in one fund ↓
Side by side
GDX and XLV on the fields both publish, as of Oct 28, 2026. Source: ETFIQ.
GDX
By weight, 12% of GDX's portfolio is stocks that are also in the S&P 500; its active share against the S&P 500 is 100%. The top ten holdings are 60% of the fund across 59 positions, as published by its issuer for Oct 27, 2026. Over the year to Oct 28, 2026 the fund returned +19.0% with distributions reinvested against +13.4% for its benchmark, the MSCI ACWI Index, so a holder was ahead by 5.6 pts. It sits 27.5% below its all-time high of Feb 27, 2026.
XLV
XLV tracks an index of Health care. Over the year to Oct 28, 2026 it returned +25.6% with distributions reinvested. The prospectus expense ratio is 0.08% a year. By its holdings published by its issuer for Oct 27, 2026, 100% of the fund by weight is stocks the S&P 500 also holds, across 62 positions, with the top ten at 60.6%.
Questions people ask
- Are GDX and XLV in the same category?
- GDX is a thematic ETF and XLV is a stock ETF, so they do different jobs. The table compares what both publish: return, cost and holdings.
- Which returned more over the last year, GDX or XLV?
- In the year to Oct 28, 2026, with distributions reinvested, GDX returned +19.0% and XLV +25.6%.
- Which is cheaper, GDX or XLV?
- XLV is cheaper, by 0.43 percentage points a year. That is about $43 on $10,000 held for a year. Fees come from each fund's prospectus.
Links are sources, not endorsements. A comparison is not a recommendation.
How this is computed
Overlap adds up the smaller of the two weights for each security both funds hold.
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ETFIQ, GDX against XLV, data as of Oct 28, 2026. https://etfiq.com/compare/any/gdx-vs-xlv
ETFIQ. (Oct 28, 2026). GDX against XLV. Retrieved from https://etfiq.com/compare/any/gdx-vs-xlv
[GDX against XLV (ETFIQ, Oct 28, 2026)](https://etfiq.com/compare/any/gdx-vs-xlv)
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