Obverse.  A gold metal device 1 5/8 inches in height (4.1 cm) overall, an anchor holding within its arms a five-pointed star, charged by a shield in its center, bearing the colors of the United States flag, three stripes red, two stripes white, and a horizontal blue bar above with three gold stars, coming from behind the arms of the anchor an olive branch wreath entwining itself around the star.

Reverse.  On the reverse, at the center of the anchor, star, and wreath, an upturned pentagon bearing the phrase “FOR HONOR SACRIFICE AND COURAGE”, and an ornamental flower at base, all gold.

Ribbon.  The ribbon is Navy Blue, the center has a Purple stripe, followed by two thin White stripes on each side, a Gray stripe, and another thin White stripe; on the left and right, one thin red stripe edged with two white stripes.

Medal.  Gold denotes honor. The five-pointed star alludes to the Pentagon, one of the 9/11 attack locations and where Angela Houtz is remembered. The star is both a national and celestial symbol of hope. The shield bares the national colors in respect for the fallen. The visual of the American flag unfurled signifies recognition for the victims who were severely wounded or killed in service. Emerging behind the anchor, the olive branch wreath encircles the star as support. It further suggests peace and hope for the future. The anchor represents the Navy and the dedicated civilians who serve under its command. It uplifts and supports the star between its arms, held aloft in dignity and remembrance.

Ribbon.  Navy Blue is the base color, followed by White, a symbol of purity and light, and Red to complete the national colors. The two Gray stripes signify the working government civilian. Visually, the two stripes also refer to the Twin Towers and the “11” symbol of remembrance. The Purple stripe is centered on the ribbon, alluding to the fallen civilian who is being honored by this medal.