There was indeed a confederate Medal of Honor, which was authorized by the confederate war department in 1863, but due to shortages of the metals needed to create them, the confederates simply listed those who were awarded such medals on a “rolls of honor” as a substitute.
It wasn’t until 1968 that an actual Medal of Honor was created, per the direction of the Sons of Confederacy to be awarded posthumously to those already listed on the rolls of Honor.
Recipients must be shown to have "distinguished themselves conspicuously by gallantry, bravery, and intrepidity at the risk of life, above and beyond the call of duty, while engaged in action against the enemy of the Confederate States of America." Most recommendations are derived from the Confederate Roll of Honor. Medals are provided to museums and libraries under a condition they properly display them.
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