The medal pendant is gold-finished bronze, 1-1/4 of an inch in diameter. In the center of the pendant is a silver shield with the Alamo in the upper half. The lower half of the shield is divided into two parts, with the cannon of the first battle of the Texas Revolution at Gonzales in the wearer's right portion and the Battle of San Jacinto Vince's Bridge in the wearer's left portion. An enameled wreath of live oak circles the shield on the wearer's right and olive on the wearer's left. Circling the shield, wearer's right to left, are the unfurled flags of Mexico, Spain, France, the Republic of Texas, the Confederate States of America, and the United States, enameled in the respective colors of the flags. Above the shield and between the French and Texas flag is a raised lone star within a circle. Below the shield is a scroll with the inscription "TEXAS MEDAL OF HONOR." The reverse side of the pendant is blank. The pendant is suspended by a metal loop attached to a green moiré silk neckband, 1-3/8 of an inch wide and 24 inches long, behind a hexagonal pad in the center made of matching ribbon. On the hexagonal pad, integral to the ribbon, are six white five-pointed stars in the form of two equilateral triangles, points up, one above the other. The green ribbon color is the same as the green color used in the United States Army's Mexican Border Service Medal.