The Uththama Pooja Pranama Padakkama (Medal of Honour for Supreme Sacrifice) (Sinhala: උත්තම පූජා ප්‍රණාම පදක්කම uṭama pūjā pranāma padakkama) is the medal presented to the next of kin of all servicepersons of the military and police of Sri Lanka in recognition of a serviceperson's death in the line of duty.

[2] The figure stands on a pair of upraised hands from below, symbolizing his/her family and their support and encouragement contributing to the serviceperson's sacrifice.

[2] Both faces of the medal are bordered by stylized crepuscular rays along the edge, meant to symbolize the brighter future the individual ensured for their nation with their sacrifice.

Award regulations stipulate that the medal be awarded jointly to the spouse, children and parents of a dead or missing serviceperson should he/she have been married at the time of (confirmed or suspected) death, and to the parents only should the serviceperson have been unmarried at the time of death.

[2] The President has the authority to annul or restore the award to any person on the recommendation of the Defence Secretary.