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"
Victoria Cross final seven ballot awards were the only naval ballot awards with three awards to two Q-Ships in 1917 and four awards for the Zeebrugge Raid in 1918. The provision for awards by ballot is still included in the Victoria Cross warrant but there have been no further such awards since 1918. Between 1858 and 1881 the Victoria Cross could be awarded for actions taken "under circumstances of extreme danger" not in the face of the enemy. Six such awards were made during this period—five of them for a single incident during an Expedition to the Andaman Islands in 1867. In