The Orders, decorations, and medals of Occidia comprise a complex system by which Occidians 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 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 Occidian Orders; he, or other members of the Occidian Imperial Family, will conduct inductions or present medals.
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.