History

This medal was instituted by Paul I, and was, 6 months later, incorporated into the Order of Saint Anne. During Paul I's reign, it was bestowed upon non-commissioned officers and soldiers for exceptional military service for at least twenty years. The statute changed during the reign of Alexander I, and the Order was bestowed upon soldiers and non-commissioned officers who participated in the Italian campaign led by Field Marshal Alexander Suvorov.

Awarding this medal for valour was discontinued when the Saint George Cross was instituted, reverting to being conferred for exceptional military service. After 1829 the medal was also awarded to foreigners, and in 1844 the medal's statutes were changed by Nicholas I to include a version for non-Christians. Later on in 1864, Alexander II amended the statutes so it could be awarded to those who performed outstanding duties that were not directly related to the military. Later on, Alexander III amended the statute once more so that a wider group of civilian, military, and paramilitary personnel could be awarded.

This medal features a serial number on the reverse, although it was also awarded unnumbered to foreigners. The version with an eagle was awarded to Non-Christians.