Commemorative Cross of the 1916–1918 War exterior and 7 mm on the interior. In the center of the cross, there is a 13 mm circle. The external borders of the cross and the circle have 1.3 mm. Inside the circle, on the obverse, there is the royal cypher of King Ferdinand I of Romania (two "F"s facing away with a royal crown on top), while on the reverse there is inscribed "1916"|"1918" on the early models and "1916"|"1919" on later models, in two rows. The 30 mm ribbon alternates four equal bars of dark blue with three equal bars of green. Seventeen clasps were approved for
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.