The Medal of Extremadura (Spanish: Medalla de Extremadura) is the highest institutional distinction of the Autonomous Community of Extremadura, Spain. It was established in 1986, following Decree 27/1986, of 29 April. It is an annual award, whose number may vary, without exceeding ten medals in the same year, except those granted by courtesy or reciprocity. Such was the case in 2008, in which ten medals were handed out on an ordinary basis, but two were granted in an extraordinary manner to Queen Sofía and the former President of the Government of Extremadura, Juan Carlos Rodríguez Ibarra.