For the U.S. military, a bronze service star indicates additional awards of the service and mission-related NATO Medals. As of May 2013, only the NATO MSM ribbon bar (as a personal foreign decoration) and the basic NATO ribbon (as a non-US service and campaign medal) may be worn for U.S. services (at least this is true for the U.S. Army). The basic NATO Medal ribbon bar worn will be the first NATO campaign medal awarded, with subsequent campaigns indicated with a bronze service star. Most military services besides the U.S. will allow multiple service and mission-related NATO medal decorations to be worn simultaneously as they are considered separate awards.