Medaglia Dell Guerra 1915-1918 (War Medal 1915-1918) Awarded for participation to the 1st World War. This medal was instituted on 29 July 1920 and replaced a ribbon bar, introduced on 21 May 1916, which was awarded after 1 year service in a war zone. Additional war service years were indicated by a small silver star.

In 1920 this ribbon was replaced by the medal and a number of bars are attached to the ribbon according to the recipients war service. These bars are covered with laurel leaves and bear either a service year between 1915 and 1918 or the word Albania, followed by a service year between 1916 and 1920.

The medal's obverse bears the helmeted head of King Victor Emanuel III and around the rim is the text "GVERRA PER L'VNITA D'ITALIA 1915 1918" (War for the Unity of Italy).

The reverse depicts an upright Victory standing on shields born by 2 soldiers. Around the rim is the text "CONIATA 'NEL BRONZO NEMICO" (made from enemy bronze).