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"
George Cross ribbon width was amended to one and a half inches. Bars can be awarded for further acts of bravery meriting the GC, although none have yet been awarded. In common with the Victoria Cross, in undress uniform or on occasions when the medal ribbon alone is worn, a miniature replica of the cross is affixed to the centre of the ribbon, a distinction peculiar to these two premier awards for bravery. In the event of a second award, a second replica would be worn on the ribbon. Recipients are entitled to the postnominal letters GC. All original individual GC awards