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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
Awarded to commanders who demonstrated Outstanding Execution in the Jacob's Rest campaign.
Medal
Fought the Swarm during Steam SHMUP Fest 2023.
Medal
Awarded to commanders who demonstrated Outstanding Execution in the Operation Cleansweep campaign.