The Rampage medal resembles a brown and gold bulls-eye target sitting on top of an eight pointed gold star; it is awarded to individuals after killing 20 opponents in a row without dying on multiplayer matchmaking, or after killing 40 opponents in a row without dying on firefight or campaign in Halo: Reach and Halo 3: ODST.
- The easiest playlist to earn the Rampage medal is Living Dead as all the opponents wield energy swords requiring them to come close to the player to infect. This allows players to either kill the zombies from a distance using a pistol, or kill the zombies with ease using the shotgun.
- It has been proven that the highest spree possible is 255 kills. Even if you get more kills after that number, without dying, it will still say that your highest spree was 255 kills. This is most likely because 255 is the maximum value representable by an eight-digit binary number, and therefore the maximum representable by an unsigned 8-bit byte.