The European-African-Middle East Campaign Medal (ETO) 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 right side), Italy (on the ribbon's left 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.