November 11, 1997 marked the beginning of the game's development. First-person shooter based in World War II was the subject of a meeting between Steven Spielberg and DreamWorks Interactive team. The inspiration for the project came from Spielberg's son Max's experience playing the video game GoldenEye 007, as well as Spielberg's personal fascination with WWII. Developed by Peter Hirschmann, the game's author. The game's military advisor was Dale Dye. He collaborated with Dye on Saving Private Ryan, a picture that Spielberg directed.
This was in March 1998, and considerable changes from the original version were in the works. Medal of Honor recipient Paul Bucha wrote a scathing letter in opposition to the game's publication in November 1998, alleging it was a shameful undertaking. Bucha saw a demonstration and heard a discussion by Peter Hirschmann, who saved the project.
In December 1997, the first enemy animation tests were conducted.
Enemies had up to 250 polygons when they were fully formed. After the Columbine High School massacre in 1999 the game's makers decided to take off the gore and gory deaths that had been included in the game.
On June 2, 2009, North American PlayStation Network users were able to play Medal of Honor as a PS one Classic.