Armed Forces Expeditionary Full Size Medal

Established in 1961, the Armed Forces Expeditionary Medal (AFEM) is awarded for participation in U.S. military campaigns without an authorized service medal. This includes various operations like the Cuban Missile Crisis, actions in Lebanon, Taiwan, the Congo, Berlin operations, South Vietnam, Laos, Cambodia, Panama, Grenada, Libya, and more. Additional awards are denoted by service stars, and specific personnel may qualify for the arrowhead device or Fleet Marine Force combat operation insignia.