Awarded to an individual who distinguished themselves by extraordinary heroism not justifying the award of a MOH, while engaged in an action against an enemy of the United States. The act or acts of heroism must have been so notable and have involved risk of life so extraordinary as to set the individual apart from their comrades.

Awarded by the Secretary of Defense to officers of the Armed Forces of the United States whose exceptional performance of duty and contributions to national security or defense have been at the highest levels. “C” device may be authorized.

Awarded to any person who has distinguished themselves by exceptional meritorious service to the government in a duty of great responsibility. The performance must be such as to merit recognition for service that is clearly exceptional. Exceptional performance of normal duty will not alone justify this award. “C” device may be authorized.

Awarded for gallantry in action against an enemy of the United States while engaged in military operations involving conflict with an opposing foreign force. The required gallantry, while of lesser degree than that required for the DSC, must nevertheless have been performed with marked distinction.

Awarded by the Secretary of Defense for superior meritorious service while in a position of significant responsibility. “C” and “R” devices may be authorized.

Awarded for exceptionally meritorious conduct in the performance of outstanding service. Bronze oak leaf clusters (Army, Air Force) or gold stars (Navy, Marine Corps) represent additional awards. “V” device is worn by Navy/Marine Corps personnel to denote valor. “C” and “R” devices may also be authorized.

For heroism or extraordinary achievement while participating in aerial flight. The act of heroism must be a voluntary action above and beyond the call of duty. “V” device is worn by Navy/Marine Corps personnel to denote valor. “C” devices may also be authorized.

For heroism involving voluntary risk of life under conditions other than actual conflict with an opposing armed force.

For heroic or meritorious achievement or service, not involving aerial flight, in connection with operations against an opposing armed force. Bronze oak leaves for additional awards. Bronze "V" worn to denote valor.

Awarded for wounds or death resulting from an act of an opposing armed force or received during acts of terrorism. Bronze oak leaves (Army, Air Force) or gold stars (Navy, Marine Corps) for additional awards.