The Presidential Citizens Medal is an award bestowed by the president of the United States. It is the second-highest civilian award in the United States and is second only to the Presidential Medal of Freedom. Established by executive order on November 13, 1969, by President Richard Nixon, it recognizes an individual "who has performed exemplary deeds or services for his or her country or fellow citizens." Only United States citizens are eligible for the medal, which may be awarded posthumously.

The Presidential Medal of Freedom is the highest civilian award of the United States, alongside the Congressional Gold Medal. It is an award bestowed by decision of the president of the United States to recognize people who have made "an especially meritorious contribution to the security or national interests of the United States, world peace, cultural or other significant public or private endeavors". The award is not limited to U.S. citizens, and, while it is a civilian award, it can also be awarded to military personnel and worn on the uniform. It was established in 1963 by President John F. Kennedy, superseding the Medal of Freedom that was initially established by President Harry S. Truman in 1945 to honor civilian service.