The medal's reverse (tails side) depicts the insignias of the 100th INF BN, 442nd RCT, and MIS. The 100th INF BN insignia features a taro leaf and a traditional Hawaiian helmet, both of which are emblematic of the unit's Hawaiian roots. The "Go for Broke" Torch of Liberty shoulder patch represents the 442nd RCT. The sphinx, a traditional symbol of secrecy, represents the MIS insignia.