Medal of Honor
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The Medal of Honor is the highest honor, given by the United States, for extreme valor. While the medals of the invidual services have different designs, they all use the same name. Criteria for the award include that it is for action above and beyond the call of duty, under enemy fire, and for an act that could not have been ordered.
Before the early 19th century, it was the only U.S. honor for combat valor, and many medals awarded were revoked or downgraded.
The next, and still elite, decoration for valor in combat is the (Army) Distinguished Service Cross, the Navy Cross, or the Air Force Cross. The Distinguished Service Medal, awarded for noncombat action ranks below these decorations in precedence.