Awarded to those who, between 17 and 31 October 1914, were part of the army fighting on the IJzer-river (in French "Yser") and fought with distinction. This bronze medal (with a greenish shade and with a green enamelled medallion above) was instituted on 18 October 1918 and immediately follows the War Cross 1914-1918 in importance. Allied military personnel who participated were also eligible.

This cross replaces the IJzer Medal and is in fact the same medal but placed on a short armed cross, the top medallion covering most of the top cross arm. Between the cross arms lies a thin laurel wreath. This decoration was instituted with Royal Decrees of 5 February and 22 August 1934. It can only be worn as replacement of the IJzer Medal, never together with it. As few recipients of the medal were by that time interested in exchanging their medal for the newly created cross (and at their own expense too), the IJzer Cross is fairly rare.