The Pilgrim's Shell (Conchiglia del Pellegrino) is recognized worldwide as the insignia of an individual who has made his or her way to Jerusalem to pray at the site of Christ's birth, crucifixion, death, burial, and resurrection. The shell is awarded by the Grand Prior, the Latin Patriarch of Jerusalem, who verifies to the headquarters in Rome that a knight or lady of the order has made the pilgrimage. The insignia is the traditional golden pilgrim's shell surmounted by a red enameled Jerusalem cross. The insignia has come to be commonly worn on the mantle at the center of the cross, although originally it was worn below the star on the lower breast, which is still proper.

The Jerusalem Palm (Palma di Gerusalemme) is the award of special service of the Order. It comes in one class and is awarded to males and females alike who render a special act or service to the work of the Order. It is suspended from a black watered-silk ribbon and is worn on the left breast.

The award of merit, the Holy Land Pilgrim's Cross, has been abolished under the Constitution of 1977; however, anyone who was awarded this honor prior to 1977 may continue to wear it at all functions of the Equestrian Order.