First off, huge thanks to daveisonfire43 for creating this awesome token of gratitude!
This looked like a good challenge to increase my Fusion 360 Skills, so I imported this in, and cleaned up the face a bit, and extruded the image.
1mm was my first try, I think this gives it too deep of a relief between the coin and the image though...
.5mm was my next go, perfect in my opinion! With a .2mm layer height, you now get 3 layers of image, so it should stand out a bit better, even if you don't change colors. :)
White / Black
Just insert a pause at the image layer height, and swap colors. Enjoy giving no fucks. :)