Medals are shaped like a cross, with a circle in the centre and four trapezoidal components sticking out of it that form the cross. The centre of the medal is a bright gold colour while the cross components have a darker shade of gold. The medal remains stationary throughout the game, but gleams when seen.
Medals appear in every level of Dirk Valentine except level one. They boost the player's score by fifty points if obtained. On platforms, they can be touched by Dirk to be collected. For out-of-reach areas, the chain cannon can collect medals directly or by shooting chains off walls.