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
Victoria Cross (Canada) rank, and unit of the recipient. The medal is suspended from a link forming the letter "V" attached to a bar adorned on the front with laurel leaves, and on the reverse with the name, rank, and unit of the medal's recipient, all cast in the same metal as the medal. The ribbon, also wide, is solid crimson in colour. Cathy Bursey-Sabourin, Fraser Herald of the Canadian Heraldic Authority, and Bruce W. Beatty, however, made certain modifications for the Canadian Victoria Cross, the most notable being the inclusion of Canadian flora as decoration and the alteration of the inscription on