If one wants mechanical advantages for medals, then reputation is the answer. On the other hand, it isn't exactly what I'd necessarily give them for - the medals, if awarded, add to immersion and realism. A 25-year service veteran of a combatvarm who has seen a number of battles will probably have at least some kind of a decoration for valor, unless there is something seriously curious going on.
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"Listen to me, nugget, and listen good. Don't go poppin' your head out like that, unless you want it shot off. And if you do get it shot off, make sure you're dead, because if you ain't, guess who's gotta drag your sorry ass off the field? Were short on everything, so the only painkiller I have comes in 9mm doses. Now get the hell out of my foxhole!" - an unknown medic somewhere, 2013.
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