Behind the priest with dagger and burning torch you can see a huguenot on the rack. There are instruments of torture on the ground, a stake piled with faggots, a stock and a burning house. Not the nicest subject for a medal. The reverse is much more pleasant. This was issued in 1885 by the Huguenot Churches of London as a 200 year commemerative. London is where many of the huguenots settled after fleeing France to avoid the fate depicted on the medal.
