One would wear a single Silver Oak Leaf Cluster. The Silver Oak Leaf Cluster signifies that the Army Achievement Medal has been awarded 5 subsequent times and the Ribbon itself signifies the first one awarded. For every AAM awarded after this, one would wear a Bronze Oak Leaf Cluster (signifying one awarded AAM) until one reaches 11 total awards. At this point, one would wear a second Silver Oak Leaf Cluster.
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The answer is one silver and one bronze oak leaf cluster worn on the same ribbon...
After you have been awarded a particular decoration or medal, the subsequent award of the same decoration or medal are indicated by the wear of a single bronze oak leaf cluster. With each additional award, another bronze oak leaf cluster is added, for up to a total of four oak leaf clusters which signifies that you have been awarded the decoration or medal five times. If you receive a sixth award, a silver oak leaf cluster replaces the four bronze oak leaf clusters. If you receive additional awards, more bronze oak leaf clusters are added until a total of four bronze oak leaf clusters are accumulated and another silver oak leaf cluster is added, repeating the process.
Assuming you're referring to the Army Achievement Medal, it would be two OLCs (one for each subsequent award ie beyond the first)
Four clusters would be worn on the ribbon. The ribbon counts as one of the five.