The medal was created in 1814 and is awarded in different sizes in gold and silver with chain or ribbon.

The 12th size is the largest and is worn around the neck on a chain or ribbon.

The 8th and 5th size are worn from the left breast suspended by a ribbon, after the Seraphim Medal.

[2] It is awarded to Swedish and foreign citizens for special merits as well as to officials at the royal court.

The King's Medal is awarded in various sizes in both gold and silver.