The Chief Of Staff Medal of Appreciation (Hebrew: אות הערכה מטעם הרמטכ"ל) is an Israeli military decoration.

The medal's most well-known recipient is the Israeli astronaut Ilan Ramon, who was awarded the medal after his death during a mission of the Space Shuttle Columbia.

It has since been given 10 times; 4 posthumously, 2 group awards (Iron Dome and Patriot missile defense soldiers), and the rest to individuals (most of them American).

The medal is round; on the front there is a Star of David with an olive branch and a sword rest on its left; the reverse is plain.

The medal is attached to a white ribbon with two blue strips on the edges, similar to those on the Israeli flag.