When answering this question, there are many factors to consider, such as the quality of the beer or vodka and how it is consumed. For example, beer is often high in carbohydrates and sugars, which can harm your health if consumed excessively. On the other hand, vodka is usually made with gluten-free grains and has no carbs. In general, though, beer is worse for you because alcohol is a toxin that can damage your liver and other organs. Beer also contains hops, which are known to be carcinogenic. Vodka is not without its risks, though, especially if consumed excessively. So it's ultimately up to the individual to decide which drink is worse for them.