The Medal of Commendation was a decoration issued in the 23rd century.
This medal was listed in the commendations section of Christopher Pike's personnel file, along with other awards he had earned during his lifetime prior to 2257. (DIS: "Brother")
This medal was mentioned in the personnel file of Una Chin-Riley; she earned her award while serving aboard the USS Enterprise. (SNW: "Ad Astra per Aspera")