The James Smithson Medal, established in 1965, is awarded to those who have made "exceptional contributions to art, science, history, education and technology." It is presented by the Smithsonian Institution which states that it is the organization's "most prestigious and highest award."

Recipients Year of award Image Recipient Notes Ref(s) 1965 1968 1976 Elizabeth II 1976 1979 Pope John Paul II 1986 1991 1994 1999 2002 2015 2019

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