The phrase is more often used figuratively than literally. No actual medal is expected. After cooking for the entire family reunion, she deserves a medal.
Pro Tip 2/3
Expressing Admiration
This saying expresses admiration for someone's hard work or perseverance. He ran into the burning building to save the dog; he deserves a medal.
Pro Tip 3/3
Humor and Irony
Sometimes used humorously or ironically to comment on less heroic actions. She assembled the IKEA wardrobe without crying. She deserves a medal!