The Global War on Terrorism Expeditionary Medal (GWOT-EM) is a United States Armed Forces award created by George W. Bush on 12 March 2003, through Executive Order 13289.

In a similar fashion the Inherent Resolve Campaign Medal is issued for service in the fight against ISIS, with eligibility retroactive to 15 June 2014.

[5] The following are the approved operations and respective dates for the Global War on Terrorism Expeditionary Medal (retroactive to 11 September 2001):[6][7][8] Examples of campaign stars worn on the Global War on Terrorism Expeditionary Medal service ribbon: The following ribbon devices are authorized for wear on the Global War on Terrorism Expeditionary Medal: To be awarded the Global War on Terrorism Expeditionary Medal a military service member must perform duty in a deployed status and must participate in designated anti-terrorism operation for a period of either 30 consecutive or 60 non-consecutive days of duty.

For a service member to receive the Global War on Terrorism Expeditionary Medal, the deployment must also have taken place in a nation which is currently recognized as a base for anti-terrorism operations by the United States Department of Defense.

On February 9, 2015, the Defense Department authorized service stars to be worn on the GWOT-EM to represent different operations the recipient participated in.