The Medal of Honor served as a recognition bestowed upon individuals within the Imperial Military who demonstrated commendable conduct during their service. It was awarded more frequently and held a lower status compared to the Distinguished Medal of Imperial Honor.
After the Battle of Jakku, Lieutenant Dalven Kyrell proposed that the presumed deceased Captain Ciena Ree should be recognized with a Medal of Honor, rather than the Distinguished Medal. Conversely, his Commander Nash Windrider held a different view, highlighting that she had supposedly perished while attempting to prevent the New Republic from gaining control of the Imperial Star Destroyer Inflictor.