Between 1789 and 1815 this medal went into disuse because of the Piedmontese and Subalpine Republics and the subsequent Napoleonic regime in Italy in Savoy and Piedmont.

On 1 April 1815 the medal was bestowed again by Victor Emmanuel I of Sardinia and on the 14th of August of the same year replaced by the Military Order of Savoy.

It was also conferred to officers of the Royal Sardinian Army and Navy, who have become Knights of the Order of Saints Maurice and Lazarus for gallantry.

The insignia was personally given by the King in presence of the ranked troops in order to give military honours.

The Commanders wore the medal hanging from a blue ribbon around the neck while the Knights Grand Cross wore it hanging from a blue sash at the height of the left hip together with a silver star embroided to the uniform at the high of the left chest.