Distinguished service medal
- Coast Guard Distinguished Service Medal
- Coast and Geodetic Survey Distinguished Service Medal
- Defense Distinguished Service Medal
- Distinguished Service Medal (Australia)
- Distinguished Service Medal (Ireland)
- Distinguished Service Medal (U.S. Air and Space Forces)
- Distinguished Service Medal (U.S. Army)
- Distinguished Service Medal (United Kingdom)
- Homeland Security Distinguished Service Medal
- Indian Distinguished Service Medal
- Lone Star Distinguished Service Medal
- Medal of Distinguished Service
- Merchant Marine Distinguished Service Medal
- Military decorations of Mexico
- NASA Distinguished Service Medal
- National Intelligence Distinguished Service Medal
- Navy Distinguished Service Medal
- Public Health Service Distinguished Service Medal
- State Medal of Distinguished Service
- Transportation Distinguished Service Medal
- Turkish Armed Forces Medal of Distinguished Service
- Vermont Distinguished Service Medal
- Vishisht Seva Medal
- Vishista Seva Vibhushanaya