Political Prisoner's Medal 1914–1918 a in diameter central medallion bearing the left profile of King Albert I with the inscription in French or in Dutch "ALBERT KING OF THE BELGIANS" () () surrounded by a 5mm wide laurel wreath along the entire medal circumference. On the reverse of the central medallion, the relief inscription on four lines in French or in Dutch "IN TESTIMONY OF NATIONAL RECOGNITION" () () with the years "1914–1918" at the bottom. The medal was suspended by a ring through a suspension loop from a 38mm wide light blue silk moiré ribbon bearing a single high horizontal central stripe in
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.