On the obverse is a mounted Indian facing sinister, wearing a war bonnet, and carrying a spear in his right hand.

Above the horseman are the words ‘'Indian Wars,’’ and below, on either side of a buffalo skull, the circle is completed by arrowheads, conventionally arranged.

On the reverse is a trophy, composed of an eagle perched on a cannon supported by crossed flags, rifles, an Indian shield, spear, and quiver of arrows, a Cuban machete, and a Sulu kriss.

[1]The Indian Campaign Medal was issued as a one-time decoration only and there were no devices or service stars authorized for those who had participated in multiple actions.

The only attachment authorized to the medal was the silver citation star, awarded for meritorious or heroic conduct.