The Texas State Guard Service Medal is a campaign/service award of the Texas Military Department that may be issued to a service member of the Texas Military Forces.

[2] Issuance of the Texas State Guard Service Medal requires authorization by the Texas State Guard Commanding General and presentation to the awardee by the next higher level of command.

[2] Although the Texas Military Department awards regulation states that the medal is in the shape of a maltese cross, the medal has always been manufactured using a cross pattée pattern.

The same regulation specifies that the drape must be made of a yellow moiré ribbon with blue, white and red stripes that are 3/32 inch wide each, but in 2022 the Texas State Guard Headquarters began issuing medals that disregard these requirements as a cost-saving measure.

Medals that meet the regulations must be obtained commercially.