The Medal of Honor was created during the American Civil War. It is the highest military decoration presented by the United States government to a member of its armed forces. The medal is bestowed "for conspicuous gallantry and intrepidity at the risk of life, above and beyond the call of duty, in actual combat against an armed enemy force" and the recipient must have distinguished themselves at the risk of their own life above and beyond the call of duty in action against an enemy of the United States. Due to the nature of this medal it is commonly presented after the recipient has been killed (posthumously).