Orders, decorations, and medals of the North American Confederation

The Orders, decorations, and medals of the North American Confederation comprise a complex system by which North Americans are honoured by the country's sovereign for actions or deeds that benefit their community or the nation at large. A combination of its Canadian and American counterparts, the structure originated in 2011, but did not come to full fruition until reunion of Royal Illinois and Ohio in 2015, with the establishment of the Order of North America. The Karno-Ruthenian honors system goes back to the New European era, but the system for identifying and recognising candidates to honour change considerably over time. The monarch is regarded as the fount of all honours — as he or she is the only person who may create new national honours—and acts as the Sovereign of all of the NAC's orders; he, or other members of the North American Imperial Family, will conduct inductions or present medals.

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Other honours and appointments
As the fons honorum, or 'fountain of honour', in North American Confederation, the Emperor-King has the sole right of conferring all titles of honour, including titles of nobility, knighthoods and gallantry awards.

Refusal or forfeiture
A small number of people refuse the offer of an award, usually for personal reasons. Conversely, honours are sometimes removed (forfeited), for example if a recipient is subsequently convicted of a serious criminal offence. Sometimes the original decision to grant an honour was made on the basis of inaccurate information, but normally cases relate to actions that took place after the award was made. Recommendations are made to the Sovereign, who has the sole authority to rescind an honour.