Red Cross Silver medal with War Decoration

[Iver]

...cased medal, cased mini, classic mini, private adjusting of mini, ribbon with ennameled wreath...

[Von Thronstahl]

I have never seen an enameled wreath on a ribbon before. What does it mean?

[Iver]

...it is a symbol of war decoration - just like on the decoration itself...

[Von Thronstahl]

1 hour ago, Iver said:

...it is a symbol of war decoration - just like on the decoration itself...

So it is more like a decoration and not a regulation?! 

 

[Iver]

...it means it was awarded in war...