If I would give any mechanical benefits from having medals it would be reputation related social bonuses. People look at Trooper 24232-X and even if they don't know anything about him if they recognize the medal(s) it will have an effect on what they think about him.
Not that every civilian would recognize random medals and particularly in a setting like Twilight there is a chance that he took the medal (and his uniform) off some dead guy who had earned it.
Only war has rules for medals and the medals themselves give relevant benefits based on what you had to do to earn them. Or maybe it is that achieving those things gave the characters bonuses and the medals were just ceremonial.
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