The obverse of the medal features a portrait of John Quincy Adams with the inscription "JOHN QUINCY ADAMS PRESIDENT OF THE UNITED STATES 1825" centered along the border of the medal. The reverse of the medal features the "PEACE AND FRIENDSHIP" symbol with two hands clasped in token of amity; on the cuff of the left wrist three stripes with buttons, each button carrying the American eagle; the other wrist is bare; above the hands, crossed, the pipe of peace and the tomahawk.
