The bronze medal is 1 1/4 inches in diameter with an oxidized and relieved finish.
In the center of the medal, a military formation composed of a color bearer holding the United States flag accompanied by two soldiers with rifles on their shoulders, all three facing the viewer's left. Around the border on the sides are the words PHILIPPINE INSURRECTION. In the exergue, the date 1899.
Within a wreath composed of pine on the left and palm on the right and tied at its base with a bow is the inscription FOR PATRIOTISM FORTITUDE AND LOYALTY on five lines.
The ribbon is 1 3/8 inches wide and is composed of the following vertical stripes: 1/16th inch Ultramarine Blue, 1/16th inch White, 1/8th inch Old Glory Red, 1/8 inch White, 5/8 inch Ultramarine Blue, 1/8 inch White, 1/8 inch Old Glory Red, 1/16th inch White and 1/16th Ultramarine Blue.