The Commendation Medal is a mid-level United States military decoration that is presented for sustained acts of heroism or meritorious service.
 
A Commendation Medal with “V” Device or Combat “V” (Navy/Marine Corps/Coast Guard) can be awarded for valorous actions in direct contact with an enemy, but of a lesser degree than required for the award of the Bronze Star Medal. On January 7 2016, The “C” Device or Combat “C” was created and may be authorized for wear on the service and suspension ribbon of the Commendation Medal to distinguish an award for meritorious service or achievement under the most arduous combat conditions (while the Soldier/Sailor/Marine was personally exposed to hostile action or in an area where other Soldiers were actively engaged).