It could then be awarded to the champions of army marksmanship competitions, held under battle conditions, at annual central meetings in the United Kingdom, the British Dominions, Colonies, and India.

[7] The medal was designed by Bruce W. Beatty, taking the form of a 36 millimetres (1.4 in) diameter disk with a raised edge.

[8][9] The reverse shows the winged mythological goddess Pheme, with a trumpet in her left hand and rising from her throne to crown a warrior with a laurel wreath.

[1][9][10] From 1924 to 1991, the eligibility for the Queen's Medal included various combinations of regular, reserve and Royal Canadian Mounted Police.

[11][12] All medal contenders have to be current serving members of the Armed Forces or Royal Canadian Mounted Police.