Elizabeth II, in her capacity as Queen of Australia, signs letters patent allowing Australia to become the first Commonwealth realm to institute its own Victoria Cross in its honours system.

The Victoria Cross for Australia is the highest award in the Australian Honours System, superseding the British Victoria Cross for issue to Australians. The Victoria Cross for Australia is the "decoration for according recognition to persons who in the presence of the enemy, perform acts of the most conspicuous gallantry, or daring or pre-eminent acts of valour or self-sacrifice or display extreme devotion to duty."The Victoria Cross for Australia was created by letters patent signed by Elizabeth II, Queen of Australia, on 15 January 1991. It is listed equal first with the British Victoria Cross on the Australian Order of Wear with precedence in Australia over all orders, decorations and medals. The decoration may be awarded to members of the Australian Defence Force and to other persons determined by the Australian Minister for Defence. A person to whom the Victoria Cross for Australia has been awarded is entitled to the post nominals VC placed after the person's name.The Governor-General of Australia awards the Victoria Cross for Australia, with the approval of the Sovereign, on the recommendation of the Minister for Defence, subject to review by the Defence Honours and Awards Appeal Tribunal. As at February 2021, five Victoria Cross for Australia had been awarded, two posthumously. The first was awarded on 16 January 2009 to Trooper Mark Donaldson, who had rescued an International Security Assistance Force interpreter under heavy fire in Uruzgan Province in Afghanistan. Donaldson's award came almost 40 years after Warrant Officer Keith Payne became the last Australian to be awarded the (original) Victoria Cross for gallantry on 24 May 1969 during the Vietnam War. Unlike the original Victoria Cross where the announcement of the award may be followed some time later by the presentation of the award, the announcement of all awards of the Australian VC have occurred on the same occasion as the presentation by the Governor-General in the presence of the Prime Minister. Both VC for Australia and original Victoria Cross recipients are entitled to the Victoria Cross allowance under the Veterans' Entitlements Act 1986.

Elizabeth II (Elizabeth Alexandra Mary; born 21 April 1926) is Queen of the United Kingdom and 14 other Commonwealth realms.Elizabeth was born in Mayfair, London, as the first child of the Duke and Duchess of York (later King George VI and Queen Elizabeth). Her father acceded to the throne in 1936 upon the abdication of his brother, King Edward VIII, making Elizabeth the heir presumptive. She was educated privately at home and began to undertake public duties during the Second World War, serving in the Auxiliary Territorial Service. In November 1947, she married Philip Mountbatten, a former prince of Greece and Denmark, and their marriage lasted 73 years until Philip's death in 2021. They had four children: Charles, Prince of Wales; Anne, Princess Royal; Prince Andrew, Duke of York; and Prince Edward, Earl of Wessex.

When her father died in February 1952, Elizabeth—then 25 years old—became queen regnant of seven independent Commonwealth countries: the United Kingdom, Canada, Australia, New Zealand, South Africa, Pakistan, and Ceylon, as well as Head of the Commonwealth. Elizabeth has reigned as a constitutional monarch through major political changes such as the Troubles in Northern Ireland, devolution in the United Kingdom, the decolonisation of Africa, and the United Kingdom's accession to the European Communities and withdrawal from the European Union. The number of her realms has varied over time as territories have gained independence, and as some realms have become republics. Her many historic visits and meetings include a state visit to the Republic of Ireland in 2011 and visits to or from five popes.

Significant events have included the Queen's coronation in 1953 and the celebrations of her Silver, Golden, Diamond and Platinum jubilees in 1977, 2002, 2012 and 2022 respectively. Elizabeth is the longest-lived and longest-reigning British monarch, the longest-serving female head of state in history, the oldest living and longest-reigning current monarch, and the oldest and longest-serving incumbent head of state. Elizabeth has occasionally faced republican sentiment and press criticism of the royal family, particularly after the breakdown of her children's marriages, her annus horribilis in 1992, and the death in 1997 of her former daughter-in-law Diana, Princess of Wales. However, support for the monarchy in the United Kingdom has been and remains consistently high, as does her personal popularity.