To amplify a little on this topic, here is a picture of a sister and a brother both with the same obverse that started this thread. On the left is the reverse of the Ehrenzeichen fur Kriegsfursorge, (raised letters) awarded beginning in September 1915 to men and women for acts which didn't merit a Military Sanitary Cross. Then, on the right, beginning in June of 1916, the Kriegsehrenzeichen (engraved letters) was created to reward merit by men only for acts which didn't merit a Military Sanitary Cross or a General Honor Decoration for Bravery. The Ehrenzeichen fur Kriegsfursorge reverted to a decoration for women only. I have always found the Ehrenzeichen fur Kriegsfursorge to be much more difficult to find.