Douglas MacArthur was an American military leader who served as General of the Army for the United States, as well as a field marshal to the Philippine Army. He served with distinction in World War I, was Chief of Staff of the United States Army during the 1930s and played a prominent role in the Pacific theater during World War II. MacArthur was nominated for the Medal of Honor three times, and received it for his service in the Philippines campaign. This made him along with his father Arthur MacArthur Jr. the first father and son to be awarded the medal. He was one of only five men to rise to the rank of General of the Army in the U.S. Army, and the only one conferred the rank of field marshal in the Philippine Army.

General of the Army is a five-star general officer rank in the United States Army. It is generally equivalent to the rank of Field Marshal in other countries. In the United States, a General of the Army ranks above generals and is equivalent to a fleet admiral and a general of the Air Force. The General of the Army insignia consisted of five 3⁄8-inch (9.5 mm) stars in a pentagonal pattern, with touching points. The insignia was paired with the gold and enameled United States coat of arms on service coat shoulder loops. The silver colored five-star metal insignia alone would be worn for use as a collar insignia of grade and on the garrison cap. Soft shoulder epaulets with five 7⁄16-inch (11 mm) stars in silver thread and gold-threaded United States coat of arms on green cloth were worn with shirts and sweaters.