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Medal…?
The trick is, this isn't a hat or a medal. It's a commemorative sticker. Complete the Ready For Duty achievement in Team Fortress 2 to unlock.
Medal
Style: Participant
Finished Season 19 in rank #1,209 with a score of 6. Medal awarded to those who participated in any season of Heroes of the Interstellar Armed Forces. Aliens Killed: 2 Team Kills: 1 Successful Missions: 1 Failed Missions: 0