Tiffany Cross Medal of Honor at the risk of his life above and beyond the call of duty and without detriment to his mission." This pendant became the "Tiffany Cross". The "Tiffany Cross" is suspended from the classic light blue Medal of Honor ribbon with 13 white stars. At the ribbon top is a bar with the word "VALOUR". The medal is a gold cross pattée overlaying an oak and laurel wreath on the obverse side, with an antique anchor in each arm of the cross. The center, overlaying the cross, is an octagon with the phrases "UNITED STATES NAVY" to the top and "1917·1918"
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.