The Combat Medical Badge 2nd Award (CMB) is awarded to any member of the Army Medical Department, ranked Colonel or below, assigned to a medical unit providing support to an infantry or Special Forces unit during any period in which the unit was engaged in active ground combat. The second award specification indicates that the individual met the criteria while serving in a second war. The badge displays a stretcher crossed by a caduceus surmounted at the top by a Greek Cross, all of which is superimposed over an encircling oak wreath. For second award recipients, a star is added to the top of the badge. This badge has a silver oxide finish, is 100% Made in the USA, and also available in a nickel finish.