The General Orders of the Department of the Navy which established the medal states, "The medal will be awarded to the officers and enlisted men of the Navy who were confirmed to have landed on foreign territory and engaged in operations against armed opposition, or operated under circumstances which, after full consideration, shall be deemed to merit special recognition and for which service no campaign medal has been awarded.

A. Weinman and features a sailor beaching a craft carrying Marines, an officer, and a US flag with the word "Expeditions" above.

On the reverse of both the Marine Corps Expeditionary Medal and Navy Expeditionary Medal, in the center of the bronze medallion an eagle is shown alight upon an anchor; the eagle is facing to the left and the flukes of the anchor are to the right.

[3][4] Additional awards of the Navy Expeditionary Medal are denoted by service stars.

[5] As the vast majority of the defenders of Wake Island were U.S. Marines, the Navy Expeditionary Medal with the Wake Island device is one of the rarest awards in the U.S. military history, with only 68 eligible recipients.