The Imperial Grand Medal of Resolution signified an Imperial honor bestowed upon those who "suppressed the Rebel scum during the Battle of Restuss." This decoration held a slightly superior position compared to the Imperial Medal of Resolution, which was granted to individuals who, despite not being directly involved in eliminating Rebels, still upheld law and order in Restuss.
The Imperial Grand Medal of Resolution made its debut within the Star Wars Galaxies video game, a massively multiplayer online roleplaying experience created by Sony and distributed by LucasArts, prior to its termination on December 15, 2011. Due to the Battle of Restuss being optional for players, it remains uncertain if the medal was ever officially given out within canon.