Southern Cross Medal (1975) centre of a starburst of radiating points. The reverse has the , with the decoration number impressed underneath. The bar was struck in silver and has a Protea emblem embossed in the centre. The same bar was used to indicate multiple awards of the Pro Virtute Medal, Army Cross, Air Force Cross, Navy Cross, Medical Service Cross, Southern Cross Medal (1975) and Pro Merito Medal (1975). The original ribbon was 32 millimetres wide, with a 2 millimetres wide white band, an 11½ millimetres wide dark blue band and a 1 millimetre wide white band, repeated in reverse order and separated
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.