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Medals are unlocked by completing certain feats during the course of a game.  Certain Medals require a specific Mode and Modifier to be selected or require that the player be using a specific Military Occupational Specialty.  Earning a Medal will give a large one-time experience award in your current Rank Set.  Medals earned by each player are displayed by hovering over their name in the HUD, and a player can view their own Medals through the [me] button in the Functional Dialog.

Medal Unlock Requirement
Combat Veteran Play 250 games.
Combat Action Badge Complete Recruit, Normal, Hard, Insane, or Nightmare Mode with at least 1300 kills and at least 10 massive kills in one game.
Expert Medic Badge Use 22 First Aid abilities in one game as Combat Medic.
Bronze Star Complete Hard Mode with at least 800 kills, at least 5 massive kills, at most 6 hits, and an Infection Level at or below 25 at all times.
Silver Star Complete Insane Mode with at least 1000 kills, at least 8 massive kills, at most 6 hits, and an Infection Level at or below 25 at all times.
Gold Star Complete Nightmare Mode with at least 1300 kills, at least 10 massive kills, at most 6 hits, and an Infection Level at or below 25 at all times.
Combat Proficiency Badge Win 4 rounds in Competitive Mode.
Medal of Gallantry Complete Survival Mode with less than 5 hits.
Purple Heart Complete Recruit, Normal, Hard, Insane, or Nightmare Mode with at least 20 hits and at least 2 deaths.
Medal of Valor Use Revive at least 12 times in one game as Combat Medic.
Good Conduct Medal Save every refugee during Chapter 2: Valor on Normal, Hard, Insane, or Nightmare Mode.
Sharpshooter Medal Attain at least 50 massive kills on Hard, Insane, or Nightmare Mode.
Expert Marksman Badge Complete the epilogue in PMC Mode with Rifle Modifier with at least 30 PMC kills.

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