Ask HN: How to manufacture a great physical award medal?

I have an employee to whom I want to give a truly epic physical award. From time to time I'll see some of the things Blizzard gives out for employee anniversaries and envy their creativity and craft. https://www.blizzard.com/en-us/company/about/b20/sword-and-shield.html My question: Where might one go about having a custom award of this calibre created? There are plenty of online shops that sell somewhat customized trophies and medallions. But I'm looking for someone who can create a truly impressive piece on a one-off basis. A Google search on this topic is flooded with mediocre-looking options. What's a good option?