Starfleet personnel are issued a series of service "ribbons" (in reality small, rectangular metal pins) with each medal they receive. In addition, they are issued an additional set of ribbons for unit citations, campaigns, major combat actions, combat actions against particular opponents, major exploratory expeditions, special certifications, dedicated service, and minor awards not otherwise authorized for issuance of full medals.
Personnel are expected to wear all issued ribbons with their dress uniforms, and for certain awards have the option to wear them on their duty uniforms as well.
For subsequent awards, raised devices are affixed to the ribbon indication multiple receipt of a single honor.
Ribbons are shown in order of precedence; for descriptions of each award, see: Starfleet Medals.
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| Medal of Honor | Medal of Valor | Federation Cross | Federation Star |
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| Distinguished Service Cross | Silver Star | Superior Service Medal | Legion of Merit |
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| Order of Merit | Starcross | Semper Fidalis Cross | Starfleet Medal |
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| Bronze Star | Purple Heart | Red Crest | Grankite Order of Tactics |
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| Meritorious Service Medal | Preantares Cluster | Karagite Order of Heroism | Valor Cross |
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| Command Achievement Medal | Flight Control Achievement Medal | Tactical Achievement Medal | Operations Achievement Medal |
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| Security Achievement Medal | Engineering Achievement Medal | Sciences Achievement Medal | Medical Achievement Medal |
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| Intelligence Achievement Medal | Starfleet Marine Corps Achievement Medal | Starfighter Operations Achievement Medal | Commendation Medal |
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| Presidential Unit Citation | Federation Council Unit Citation | Outstanding Unit Citation | Commander-in-Chief's Unit Citation |
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| Small Unit Citation | Admiral's Star | Captain's Star | Prisoner of War Medal |
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| Silver Palm | Cross of Gallantry | Readiness Medal | Good Conduct Medal |
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| Recognition Ribbon | Defense Service Medal | Humanitarian Service Medal | Volunteer Service Medal |
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| Command Cluster | Starfleet Academy Ribbon (Top 5%) | Starfleet Academy Ribbon | Starfleet Marine Academy Ribbon (Top 5%) |
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| Starfleet Marine Academy Ribbon | Starfleet Warrant Officer's Training Ribbon | Starfleet A School Ribbon | Starfleet Basic Training Ribbon |
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| Starfleet Marine Basic Training Ribbon | First Contact Ribbon | (Expedition Ribbons) | Combat Merit Ribbon |
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| (Campaign Ribbons) | Second Klingon War Victory Ribbon | Dominion War Victory Ribbon | First Klingon War Victory Ribbon |
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| Cardassian War Victory Ribbon | Tzenkethi War Victory Ribbon | (Battle Clusters) | (Battle Ribbons) |
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| Dedicated Service Ribbon | Reserve Medal | Bridge Officer's Certification | Combat Infantry Badge |
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| Pilot's Wings | Elite Marksmanship Badge | Expert Marksmanship Badge | Medic Certification |
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| Damage Control Certification | Instructor's Badge | ||