The obverse of the medal features a veiled effigy of Queen Victoria facing right in a circular field bordered by a beaded edge. Between the beaded edge and the edge of the medal itself appears the legend VICTORIA + D + BRITT + REG + F + D + IND + IMP.
The reverse, the Royal Arms within the Garter bearing the legend HONI - SOIT - QUI - MAL - Y - PENSE. Above this is the Imperial Crown and below it, the Prince of Wales feathers. On either side is the badge of the Order, each bearing a shield, the one on the left charged with the arms of the Order and that on the right, the arms of the Prince of Wales. The whole rests upon a sprig of St. John Wort. The central motif is surrounded by a border bearing the words MAGNUS - PRIORATUS - HOSPITALIS - SANCTI - JOHANNIS - JERUSALEM - IN - ANGLIA.
A claw at the top of the medal is attached to a straight, slotted bar.
The ribbon is 38mm wide and consists of 5 equal stripes of black, white, black, white and black.
The bars are laurelled with a Maltese cross in the centre and exist in gilt or silver colour.
The "only British medal to retain the head of Queen Victoria on a current issue".