A gold color metal and enamel device 1 1/8 inches (2.86 cm) in height overall consisting of a cross quartered black and gold charged with a red lion passant guardant and grasping a gold trident between six fleurs-de-lis, the cross interlaced with a maroon garter inscribed "PRO VITA" in gold letters at top, buckle in base.
Maroon and white are colors traditionally associated with the U.S. Army Medical Corps. The cross is emblematic of healing and medical organizations. The quartering of the cross alludes to the Maryland State flag and the unit's location. The lion, adapted from the arms of the French Province of Normandy, and the trident symbolize the unit's distinguishing contribution to the amphibious invasion of 1944. The six fleurs-de-lis represent the six campaigns in Europe in both World War I and World War II. The scroll, rendered in the form of a garter, suggests the unit's heritage as an element of the 175th Infantry.
The distinctive unit insignia was approved on 1 June 1988.