[1] Subsequent decorations are denoted by a bronze or silver twig of four oak leaves with three acorns on the stem device.

[2] The Texas Outstanding Service Medal is conferred to any service member of the Texas Military Forces serving in any capacity, whose performance has been such as to merit recognition for service performed in a superior and clearly outstanding manner, but of a lesser degree than required for a higher decoration.

[2] The Texas Outstanding Service Medal was authorized by the Sixty-second Texas Legislature in House Bill number 30 and approved by Governor Preston Smith on 13 May 1971, effective the same date.

On the reverse side of the pendant is a five-pointed raised star, 1/2 of an inch in diameter, one point up, surrounded by a wreath formed by an olive branch on the right and a live oak branch on the left, encircled by the words "STATE MILITARY FORCES" on the upper arc and "FOR SERVICE” on the lower arc, in raised letters.

[2] To denote second and succeeding decorations, a bronze twig of four oak leaves with three acorns on the stem is conferred.