The Lifesaving medal is earned by completing a campaign while playing as a Medic. Which campaign is irrelevant, so long as you survive until you receive the medal notification. As always, the first 2 ranks can be earned in Recruit or Normal, the remaining must be earned in Nightmare.

1 Medal Point = Win a game playing as Medic (Regardless of Talents Chosen)
1 Medal Level = 10 Medal Points (Win 10 games playing as Medic)

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