 Operating on the West Coast until departing San Diego on 1 November 1968, the veteran landing ship returned to the war zone late in the year and supported allied operations until arriving at Guam on 18 April 1969.From 1969 until 1971 the "Outagamie County" made numerous trips to Da Nang, Chu Lai, Cửa Việt Base, An Thoi and Hà Tiên.She and/or the crew received the Joint Service Commendation with 3 Oak Leaf Clusters, Combat Action Ribbon with 3 gold stars, Navy Commendation Medal, Navy Achievement Medal, Navy Presidential Unit Citation with 3 stars, Navy Unit Commendation, Navy Meritorious Unit Commendation, Navy "E" Ribbon, Vietnam Service Medal with 8 battle stars, Vietnam Campaign Medal, RVN Navy Gallantry Cross, RVN Special Service Medal, RVN Gallantry Cross with Palm, RVN Gallantry Cross Unit Citation, RVN Honor Medal, RVN Training Service Medal, RVN Presidential Unit Citation, RVN Civil Action Unit Citation, Korean Defense Service Medal, and the Armed Forces Expeditionary Medal for operation "Golden Dragon" in Pohang, Korea in 1970 where she sunk two North Korean boats.