Total patrol score does matter most, but the rating does come into play somewhere also. Strange thing is, you can sink a friendly for a 10x points loss, but if you sink enough enemy and maybe grap some more points with Objective completions, you can still get medals... no charges... CapnScurvy and a few other old heads were the most knowledgeable about the subject, and I do remember hearing swear words all the way from the Cincinnati area when he was trying to format the text better of his Medals mod for FotRSU... very frustrating crapolla... such simple text-based files, of which you can't change certain lines, but there is also something borked in one of the libraries or the exe, all because of no licensing from the US military for the images...