I’d guess many if not most TAH readers have read Steven Crane’s Civil War novel The Red Badge of Courage. And I’d also guess that virtually all TAH readers know a bit about the Purple Heart and its history.
But like the main character in Crane’s novel, with one minor change in history we easily could have ended up with a literal “red badge of courage” for wounded soldiers vice today’s Purple Heart. In fact, the Army actually did have and award such a thing – for a period of roughly three months.
Many TAH readers know that the Purple Heart was not the first decoration used by the Army to recognize combat wounds. The World War I Wound Chevron preceded the Purple heart. It was a gold chevron worn on the lower right sleeve of the uniform where today’s Overseas Bars are worn, and was instituted in War Department General Orders 6 of January 12, 1918.

But the Wound Chevron was not the first decoration or badge used to recognize combat wounds.
The Wound Chevron itself was preceded by a different but short-lived means of recognizing combat-wounded soldiers. The Army Wound Ribbon was the original Army recognition for combat wounds.
The Army Wound Ribbon was a ribbon-only award. It was also a very short-lived decoration – it was awarded for a period of roughly three months. It was created by order of the Secretary of War on September 6, 1917 and implemented by the War Department on October 12, 1917. It was formally rescinded on January 12, 1918, with the directive creating the Wound Chevron.
The ribbon was scarlet with a rather wide white center stripe.

Army Wound Ribbon, 1917
I wasn’t kidding with the title above. As you can see, for a short while the US Army really did have a literal “Red Badge of Courage” for combat wounds. And had the Army not taken that little “side trip” down Wound Chevron Way, my guess is that we’d use that same scarlet and white ribbon today – almost certainly with an accompanying medal – instead of the Purple Heart to recognize individuals wounded in combat.
Hat tip to Sparks’ comment here regarding the Red Badge of Courage for prompting the research that led to me finding this little bit of history.