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In late 2374, Captain Benjamin Sisko received this medal from Admiral William Ross and Starfleet Command for his role in the Dominion War, in particular for his acts of personal bravery displayed during the battle to retake Deep Space 9. (DS9: "Tears of the Prophets")
- According to the Star Trek Into Darkness app, the biographical file for Christopher Pike stated that in the alternate reality, that Christopher Pike had a medal named after him as well.