The Bronze medal is 1 inches in width. On the obverse is a LST landing craft and troops landing under fire with an airplane in the background below the words "EUROPEAN AFRICAN MIDDLE EASTERN CAMPAIGN". On the reverse, an American bald eagle close between the dates "1941 - 1945" and the words "UNITED STATES OF AMERICA".

The ribbon is 1 3/8 inches wide and consists of the following stripes: 3/16 inch Brown 67136; 1/16 inch Irish Green 67189; 1/16 inch White 67101; 1/16 inch Scarlet 67111; inch Irish Green; center 1/8 inch triparted Old Glory Blue 67178, White and Scarlet; inch Irish Green; 1/16 inch White; 1/16 inch Black 67138; 1/16 inch White; and 3/16 inch Brown.

See Army Regulation 600-8-22, Military Awards.

The following are authorized components:

The EAME Campaign Medal was established per Executive Order 9265, dated 6 November 1942, by President Franklin D. Roosevelt and announced in War Department Bulletin 56, 1942. The criteria was initially announced in Department of the Army (DA) Circular 84, dated 25 March 1948, and subsequently published in Army Regulation 600-65, dated 22 September 1948.

The ribbon design was approved by the Secretary of War in December 1942. The brown represents the sands of Africa and the green represents the green fields of Europe. The center blue, white, and red stripes are taken from the American Defense Service Medal ribbon and refers to the continuance of American Defense after Pearl Harbor. Green, white and red are the Italian colors and the white and black colors represent Germany.

The medal was designed by Mr. Thomas Hudson Jones, based on General Eisenhowers request that the medal include an invasion scene. The reverse side was designed by Mr. A. A. Weinman and is the same design as used on the reverse of the Asiatic-Pacific and American Campaign Medals. The medal design was submitted to the Commission of Fine Arts on 17 September 1946 and the first sample was completed in July 1947. General Eisenhower was presented the first medal on 24 July 1947.

A bronze star is worn on the ribbon to indicate participation in designated campaigns. The designated campaigns for the European-African-Middle Eastern Theater are:

A bronze arrowhead is worn on the ribbon to indicate participation in a combat parachute jump, combat glider landing, or amphibious assault landing within the EAME Theater.