George Medal 27 second award bars. The GM is a circular silver medal in diameter, with the ribbon suspended from a ring. It has the following design.<br> The obverse depicts the crowned effigy of the reigning monarch. To date, there have been four types: The reverse shows St. George on horseback slaying the dragon on the coast of England, with the legend around the top edge of the medal.<br>The ribbon is wide, crimson with five narrow blue stripes. The blue colour is taken from the George Cross ribbon. Worn on the left chest by men, women not in uniform wear the medal
Tiffany Cross Medal of Honor returned to using only the original 1862 inverted 5-point star design, and ceased issuing the award for non-combat action. During the "Tiffany Cross's" active status, the next lower naval award was the Navy Distinguished Service Medal, followed by the Navy Cross. By congressional action on 7 August 1942, in the same act that terminated the "Tiffany Cross", the Distinguished Service Medal and the Navy Cross swapped places, with the Navy Cross also becoming solely a combat award. The US Naval History & Heritage Command asserts that 28 sailors and Marines received the "Tiffany Cross", but does not provide a list.