Medals can be found in the character tab under your avatar, if you recieve a medal you will get a report with it to tell you. If you want to show off a particular medal you can drag it into the displayed top 4.
Medals have no special abilities.
Adventurer Set
1) Adventurer (Bronze) - Complete 10 quests.
2) Adventurer (Silver) - Complete more quests
3) Story Line Lover (Gold) - Even more
Sleep set
1) Sleepyhead (Silver) - Sleep for 16 continuous hours.
2) Sleepwalker (Gold) - Sleep for 24 continuous hours.
Underworld Set
1) No Victories Without Sacrifice (Bronze) - Get knocked out 65 times
2) I'm Getting tired Of This (Silver) - Get knocked out 200 times
3) Master Of The Underworld (Gold)- Get knocked out 500 times (roughly)
Fort Set
1) Fort Fighter (Bronze) - Take part in one fort battle.
2) Veteran Fort Fighter (Silver) - Take part in fort battles (roughly 5)
1) Fort Battle Winner (Bronze) - Take part in one fort battle, and be on the winning side.
2) Veteran Fort Battle Winner (Silver) - Take part in fort battles, and be on the winning side
Praying Set
1) Believer (Bronze) - Pray (bare in mind that praying too much will damage your faith)
2) Monastery Resident (Silver) - Pray
2) Bishop (Gold) - Pray
Construction Set
1) Construction Worker (Bronze) - Build 200 points worth of construction
2) Architect (Silver) - Awarded for 3000 construction points' worth of work.
3) Trainee Builder (Gold)
Building Set
1) Builder (Bronze) - Finish the construction of a building (thought to be a level 1 building)
2) Master Builder (Silver)
3) Puh, the Last Nail (Gold)
Pictures:
http://forum.the-west.net/showthread.php?t=27084&page=2
http://forum.the-west.net/showthread.php?t=26744