Marksmanship Medal was created in 1969.
It is 32 years old.
Marksmanship Ribbon was created in 1920.
Distinguished Marksmanship Ribbon was created in 1942.
German Armed Forces Badge of Marksmanship was created on 1954-07-16.
The only medal typically available would be the marksmanship medals. Qualifying as an Expert with the rifle or pistol can be awarded a medal. You can earn those later as well.
Laetare Medal was created in 1883.
Butler Medal was created in 1864.
Eckersberg Medal was created in 1883.
Price Medal was created in 1994.
Belpré Medal was created in 1996.
Mussabini Medal was created in 1998.
Gulf Medal was created in 1992.