Royal Navy, Army, and Royal Air Force personnel from the South were among 131 honoured for showing courage under fire, risking their lives to protect others and to help free a country from a dictator's grasp.
There was a posthumous award to the Royal Navy officer shot dead on board a nuclear submarine docked in Southampton.
Medals were also given to the council officials who were on a civic visit and who tackled the gunman to save others.
Lieutenant Commander Ian Molyneux receives a posthumous George Medal - second only to the George Cross - for attempting to tackle Able Seaman Ryan Donovan as he ran amok on HMS Astute while it was docked in Southampton.
His widow Gillian said she felt "extremely proud and humbled" to know that her husband's "remarkable bravery" has been recognised.
Lt Cdr Molyneux, 36, a father of four from Standish, Wigan, tried to disarm Donovan after hearing shots on board the submarine on April 8 last year, but was shot in the head.
The gunman was then wrestled to the ground by Southampton City Council's leader Royston Smith and chief executive Alistair Neill, who were visiting the submarine at the time.
In a letter to Lt Cdr Molyneux's widow, First Sea Lord Admiral Sir Mark Stanhope said: "In giving his life to save others Ian demonstrated courage of the highest possible order. His selfless actions displayed incredible presence of mind and singular bravery."
Mrs Molyneux said: "On behalf of myself and our children, I wish to express how extremely proud and humbled we all feel to know that Ian's remarkable bravery has been recognised with such a prestigious award.
"Ian is so desperately missed, but his memory will live on through his four beautiful children and in the hearts and minds of all who knew him."
Donovan was jailed for at least 25 years in September for murdering Lt Cdr Molyneux and attempting to murder Lieutenant Commander Christopher Hodge, Petty Officer Christopher Brow, and Chief Petty Officer David McCoy.
Nick Harper reports on the military men and women from across our region being awarded the highest honour for bravery.