[2] The Texas Purple Heart is conferred to any service member of the Texas Military Forces who was mobilized into service under command of the United States Armed Forces (Title 10) after 11 September 2001 and meets the criteria for decoration of the United States Purple Heart.

On the reverse side, a raised bronze heart is situated beneath the coat of arms and leaves, with the words "FOR MILITARY MERIT" inscribed below it.

The medal pendant is suspended from a metal loop that is attached to a silk moiré ribbon measuring 1+3⁄8 inches in width.

A large white enamelled five-pointed star, trimmed in gold, is mounted in the center of the ribbon with one point facing upward, measuring 3⁄8 of an inch in diameter.

[2] The recipient of a second or subsequent decoration will receive a white enameled five-pointed star, measuring 3⁄8 of an inch in diameter and trimmed in gold.