The European-African-Middle Eastern Campaign Medal is a military award of the United States Armed Forces which was first created on November 6, 1942 by issued by President Franklin D. Roosevelt. The medal was intended to recognize those military service members who had performed military duty in the European Theater (to include North Africa and the Middle East) during the years of the Second World War. Colored bands representing Germany (on the ribbon's left side), Italy (on the ribbon's right side), and the United States (in the center of the ribbon) are visible in the ribbon. The brown and green areas of the ribbon represent the terrain of the area of conflict, which ranged from beaches and sand, to grass and woodlands, to mountains.