The medal is a vintage fraternal jewel associated with the Order of the Sons of St. George, a Masonic-related organization. The letters P.W.P. on the top bar stand for Passed Worthy Principal or Past Worthy President. The central emblem depicts Saint George slaying the dragon, and the blue band around it bears the motto of the British chivalric Order of the Garter, "Honi soit qui mal y pense".

The phrase "Honi soit qui mal y pense" is Old Norman French and translates to "Shame be to him who thinks evil of it". The motto is believed to have originated in the 14th century with King Edward III.

Based on similar items, the medal may be gold-filled and enamel.