Both medals may also be worn in miniature form on a ribbon on the left chest, with a silver North American bald eagle with spread wings on the ribbon, or a golden North American bald eagle for a medal awarded With Distinction. In addition, the medal is accompanied by a service ribbon for wear on military service uniform, a miniature medal pendant for wear on mess dress or civilian formal wear, and a lapel badge for wear on civilian clothes (all shown in the accompanying photograph of the full presentation set).