(For other medals of the same name, see Commendation Medal (disambiguation).) The Commendation Medal is a mid-level United States military decoration which is presented for sustained acts of heroism or meritorious service. For valorous actions in direct contact with an enemy, but of a lesser degree than required for the award of the Bronze Star Medal, a Commendation Medal with "V" Device or Combat "V" (Navy/Marine) is awarded; the "V" device may be authorized for wear on the service and suspension ribbon of the medal to denote valor. Each branch of the United States Armed Forces issues its own version of the Commendation Medal, with a fifth version existing for acts of joint military service performed under the Department of Defense.