The Patriot Medal is awarded only by a state society. It is the highest award given for service at the state or chapter level. This medal is presented only to individuals and may be received ONLY once. It represents long, faithful and outstanding service at the state and/or chapter level.

The medal is sterling silver and bears the portrait of Compatriot General of the Army Douglas MacArthur on the obverse within the inscription, "The National Society of the Sons of the American Revolution." The reverse is inscribed "Awarded for Patriotic Service by the Society SAR, 20XX". The medal is suspended from a chest ribbon of royal blue color. The design for the medal was selected by Compatriot MacArthur. He received the first medal, presented posthumously at his tomb in Norfolk, Virginia, on October 19, 1964, where it is on permanent display.

See the full list of Texas Society SAR Patriot Medal recipients at https://texassar.org/patriots.htm