An Army board reviews every Army Medal of Honor award, ultimately removing 911 Recipients from the Medal of Honor Roll as cases where the Medal was erroneously bestowed. 9 Jul 1918 The "Pyramid of Honor" is established, outlining the key differences between the Medal of Honor and other military valor awards, such as the Silver Star and MEDAL OF HONOR RECIPIENTS. Presented by the President in the name of Congress, the Medal of Honor is the highest honor that can be bestowed upon any American. The President of the United States, in the name of the United States Congress, has awarded more than 3,520 Medals of Honor including 19 second awards to the nation's soldiers, sailors, airmen, marines, and coast guardsmen since the decoration's creation in 1861.
First authorized in 1861, in the 159 years since, 3,525 Medals of Honor have been bestowed upon American servicemen. The citations for the awards read as a "Who's Who" of some of the bravest, most selfless, and at times, most sacrificial young men in America's history.
Some 3,500 Americans have received the Medal of Honor since it was first introduced in the 1860s, but to date, only 19 have earned the military's highest award for valor on two occasions.

Theodore Roosevelt is the only U.S. president to have received the Medal of Honor, which he was awarded posthumously. When the Spanish-American War broke out, Assistant Secretary of the

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how many medals of honor have been awarded