When I graduated HS in the 90s, the top 25 people with the highest GPAs received a medallion of some kind (I was one of them, but I don’t remember the name). But they still recognized the valedictorian and salutatorian.
Same here, but I graduated from HS in the 1970’s. The top 10 received a gold tassel for their mortarboard. But only a valedictorian and salutatorian where recognized.