The M1919A4 medium machinegun only appears twice in the entire Medal of Honor Franchise, on the back of a destroyed Willys jeep in the mission Seaside Stowaway in Medal of Honor: Frontline and in various missions in Medal of Honor: Pacific Assault.

Medal of Honor: FrontlineEdit

It is a fixed weapon, found only during  the level "Seaside Stowaway, and mounted upon a destroyed jeep. It has unlimited ammunition and has a high rate of fire, making it very similar to the German MG-42. The man mounting the gun will say, as you approach him, "I can't move, take over the gun" before dying.

Medal of Honor: Allied Assault and Breakthrough Edit

The M1919 seen mounted on a jeep. It first can be used during Opearion Torch. The M1919 dosen't appear in Spearhead but returns in Breakthrough.In the final mission of Breakthrough several M1919 mg's can be used. It has unlimited ammo and can't overheat.

Medal of Honor: Pacific AssaultEdit

The M1919A4 sees heavy usage by the United States Marine Corps throughout the Pacific campaign. There is one in each foxhole during the battle of Bloody Ridge, which the Americans use to stall the Japanese attackers from overrunning Henderson airfield. They are also used in standalone emplacements, usually at American checkpoints. There is also one mounted on the LVT during the assault on Tarawa Atoll, which Conlin uses to defend the LVT during its initial ride into the beach.

The land version of the M1919A4 fires from a 100-round drum, with decent accuracy and power. It has a relatively long reload, and usually comes with between 400 and 500 rounds in backup. The LVT version has unlimited ammunition, but retains its reload.