Distinguished Service Medal (Mexico), awarded to Army and Air Force personnel who demonstrate initiative and dedication throughout the course of their military career
Coast Guard Auxiliary Distinguished Service Medal of the Philippines (established 1972)
Vishista Seva Vibhushanaya or Distinguished Service Decoration (Sri Lanka) (established 1981), awarded for exceptional, distinguished, and loyal service over a 25-year period
State Medal of Distinguished Service (Turkey) (established 1983), for distinguished service in contribution to the Turkish State through generous action, self-sacrifice, accomplishment or merit
Distinguished Service Medal (United Kingdom) (1914–1993), awarded to non-commissioned officers of the Royal Navy and other Commonwealth navies for bravery and resourcefulness on active service