The Medal of Horror was an Imperial starfighter pilot medal awarded for successfully completing ten tours of duty. The name may have been based on the sheer amount of carnage expected for a soldier at this point. The name may also have referred to the horrors an Imperial was expected to have suffered or inflicted with so much experience.
The medal was awarded after the successful defeat of the Nami pirates and the destruction of their TIE/D Defender factory. It symbolized the horror struck by the first use of the Empire's latest starfighter, the Missile Boat.
The ribbon had red and blue stripes, as well as a yellow triangular center that prominently displayed the Imperial Crest in red. The medal itself was gold with silver and red patches, with the bottommost silver patch depicting a stylized blue bird in flight.