On the front of the medal is Saint Benedict holding a cross in his right hand, the object of his devotion, and in the left his rule for monasteries. In the back is a poisoned cup, in reference to the legend of Benedict. Above the cup are the words Crux sancti patris Benedicti ("The Cross of [our] Holy Father Benedict"). Surrounding the figure of Saint Benedict are the words Eius in obitu nostro praesentia muniamur!("May we be strengthened by his presence in the hour of our death"), since he was always regarded by the Benedictines as the patron of a happy death.
On the back is a cross, containing the letters C S S M L - N D S M D, initials of the words Crux sacra sit mihi lux! Non draco sit mihi dux! ("May the holy cross be my light! May the dragon never be my overlord!"). The large C S P B stand for Crux Sancti Patris Benedicti ("The Cross of [our] Holy Father Benedict"). Surrounding the back of the medal are the letters V R S N S M V - S M Q L I V B, in reference to Vade retro satana: Vade retro Satana! Nunquam suade mihi vana! Sunt mala quae libas. Ipse venena bibas! ("Begone Satan! Never tempt me with your vanities! What you offer me is evil. Drink the poison yourself!") and finally, located at the top is the word PAX which means "peace".