The Tiffany Cross Medal of Honor was created immediately after World War I. The US Navy decided to recognize via the Medal of Honor two manners of heroism. One in combat and one in the line of a sailor's profession. The original upside-down star was designated as the non-combat version and a new pattern of the medal pendant, in cross form, was designed by the Tiffany Company in 1919. It was to be presented to a sailor or Marine who "in action involving actual conflict with the enemy, distinguish[es] himself conspicuously by gallantry and intrepidity 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".
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