diff --git a/bgpd/bgp_route.c b/bgpd/bgp_route.c
index 0a865d7098..9f864a172f 100644
--- a/bgpd/bgp_route.c
+++ b/bgpd/bgp_route.c
@@ -553,6 +553,15 @@ void bgp_path_info_unset_flag(struct bgp_dest *dest, struct bgp_path_info *pi,
 	bgp_pcount_adjust(dest, pi);
 }
 
+static bool use_bgp_med_value(struct attr *attr, struct bgp *bgp)
+{
+	if (attr->flag & ATTR_FLAG_BIT(BGP_ATTR_MULTI_EXIT_DISC) ||
+	    CHECK_FLAG(bgp->flags, BGP_FLAG_MED_MISSING_AS_WORST))
+		return true;
+
+	return false;
+}
+
 /* Get MED value.  If MED value is missing and "bgp bestpath
    missing-as-worst" is specified, treat it as the worst value. */
 static uint32_t bgp_med_value(struct attr *attr, struct bgp *bgp)
@@ -9407,14 +9416,16 @@ void route_vty_out(struct vty *vty, const struct prefix *p,
 	}
 
 	/* MED/Metric */
-	if (attr->flag & ATTR_FLAG_BIT(BGP_ATTR_MULTI_EXIT_DISC))
+	if (use_bgp_med_value(attr, path->peer->bgp)) {
+		uint32_t value = bgp_med_value(attr, path->peer->bgp);
+
 		if (json_paths)
-			json_object_int_add(json_path, "metric", attr->med);
+			json_object_int_add(json_path, "metric", value);
 		else if (wide)
-			vty_out(vty, "%7u", attr->med);
+			vty_out(vty, "%7u", value);
 		else
-			vty_out(vty, "%10u", attr->med);
-	else if (!json_paths) {
+			vty_out(vty, "%10u", value);
+	} else if (!json_paths) {
 		if (wide)
 			vty_out(vty, "%*s", 7, " ");
 		else
@@ -9535,7 +9546,7 @@ void route_vty_out(struct vty *vty, const struct prefix *p,
 }
 
 /* called from terminal list command */
-void route_vty_out_tmp(struct vty *vty, struct bgp_dest *dest,
+void route_vty_out_tmp(struct vty *vty, struct bgp *bgp, struct bgp_dest *dest,
 		       const struct prefix *p, struct attr *attr, safi_t safi,
 		       bool use_json, json_object *json_ar, bool wide)
 {
@@ -9594,10 +9605,11 @@ void route_vty_out_tmp(struct vty *vty, struct bgp_dest *dest,
 					&attr->mp_nexthop_global_in);
 			}
 
-			if (attr->flag
-			    & ATTR_FLAG_BIT(BGP_ATTR_MULTI_EXIT_DISC))
-				json_object_int_add(json_net, "metric",
-						    attr->med);
+			if (use_bgp_med_value(attr, bgp)) {
+				uint32_t value = bgp_med_value(attr, bgp);
+
+				json_object_int_add(json_net, "metric", value);
+			}
 
 			if (attr->flag & ATTR_FLAG_BIT(BGP_ATTR_LOCAL_PREF))
 				json_object_int_add(json_net, "locPrf",
@@ -9637,13 +9649,15 @@ void route_vty_out_tmp(struct vty *vty, struct bgp_dest *dest,
 				else
 					vty_out(vty, "%*s", len, " ");
 			}
-			if (attr->flag
-			    & ATTR_FLAG_BIT(BGP_ATTR_MULTI_EXIT_DISC))
+
+			if (use_bgp_med_value(attr, bgp)) {
+				uint32_t value = bgp_med_value(attr, bgp);
+
 				if (wide)
-					vty_out(vty, "%7u", attr->med);
+					vty_out(vty, "%7u", value);
 				else
-					vty_out(vty, "%10u", attr->med);
-			else if (wide)
+					vty_out(vty, "%10u", value);
+			} else if (wide)
 				vty_out(vty, "       ");
 			else
 				vty_out(vty, "          ");
@@ -10640,11 +10654,13 @@ void route_vty_out_detail(struct vty *vty, struct bgp *bgp, struct bgp_dest *bn,
 		vty_out(vty, "      Origin %s",
 			bgp_origin_long_str[attr->origin]);
 
-	if (attr->flag & ATTR_FLAG_BIT(BGP_ATTR_MULTI_EXIT_DISC)) {
+	if (use_bgp_med_value(attr, bgp)) {
+		uint32_t value = bgp_med_value(attr, bgp);
+
 		if (json_paths)
-			json_object_int_add(json_path, "metric", attr->med);
+			json_object_int_add(json_path, "metric", value);
 		else
-			vty_out(vty, ", metric %u", attr->med);
+			vty_out(vty, ", metric %u", value);
 	}
 
 	if (attr->flag & ATTR_FLAG_BIT(BGP_ATTR_LOCAL_PREF)) {
@@ -14288,7 +14304,7 @@ show_adj_route(struct vty *vty, struct peer *peer, struct bgp_table *table,
 							json_ar, json_net,
 							"%pFX", rn_p);
 				} else
-					route_vty_out_tmp(vty, dest, rn_p,
+					route_vty_out_tmp(vty, bgp, dest, rn_p,
 							  &attr, safi, use_json,
 							  json_ar, wide);
 				bgp_attr_flush(&attr);
@@ -14351,11 +14367,15 @@ show_adj_route(struct vty *vty, struct peer *peer, struct bgp_table *table,
 									"%pFX",
 									rn_p);
 						} else
-							route_vty_out_tmp(
-								vty, dest, rn_p,
-								&attr, safi,
-								use_json,
-								json_ar, wide);
+							route_vty_out_tmp(vty,
+									  bgp,
+									  dest,
+									  rn_p,
+									  &attr,
+									  safi,
+									  use_json,
+									  json_ar,
+									  wide);
 						(*output_count)++;
 					} else {
 						(*filtered_count)++;
@@ -14393,9 +14413,10 @@ show_adj_route(struct vty *vty, struct peer *peer, struct bgp_table *table,
 							json_ar, json_net,
 							"%pFX", rn_p);
 				} else
-					route_vty_out_tmp(
-						vty, dest, rn_p, pi->attr, safi,
-						use_json, json_ar, wide);
+					route_vty_out_tmp(vty, bgp, dest, rn_p,
+							  pi->attr, safi,
+							  use_json, json_ar,
+							  wide);
 				(*output_count)++;
 			}
 		}
diff --git a/bgpd/bgp_route.h b/bgpd/bgp_route.h
index 9be3f063f3..75f9bbab94 100644
--- a/bgpd/bgp_route.h
+++ b/bgpd/bgp_route.h
@@ -845,10 +845,10 @@ extern void route_vty_out(struct vty *vty, const struct prefix *p,
 extern void route_vty_out_tag(struct vty *vty, const struct prefix *p,
 			      struct bgp_path_info *path, int display,
 			      safi_t safi, json_object *json);
-extern void route_vty_out_tmp(struct vty *vty, struct bgp_dest *dest,
-			      const struct prefix *p, struct attr *attr,
-			      safi_t safi, bool use_json, json_object *json_ar,
-			      bool wide);
+extern void route_vty_out_tmp(struct vty *vty, struct bgp *bgp,
+			      struct bgp_dest *dest, const struct prefix *p,
+			      struct attr *attr, safi_t safi, bool use_json,
+			      json_object *json_ar, bool wide);
 extern void route_vty_out_overlay(struct vty *vty, const struct prefix *p,
 				  struct bgp_path_info *path, int display,
 				  json_object *json);
diff --git a/bgpd/bgp_updgrp_adv.c b/bgpd/bgp_updgrp_adv.c
index 5d7a8b2ba1..0a852c75de 100644
--- a/bgpd/bgp_updgrp_adv.c
+++ b/bgpd/bgp_updgrp_adv.c
@@ -328,15 +328,16 @@ static void subgrp_show_adjq_vty(struct update_subgroup *subgrp,
 			}
 			if ((flags & UPDWALK_FLAGS_ADVQUEUE) && adj->adv &&
 			    adj->adv->baa) {
-				route_vty_out_tmp(
-					vty, dest, dest_p, adj->adv->baa->attr,
-					SUBGRP_SAFI(subgrp), 0, NULL, false);
+				route_vty_out_tmp(vty, bgp, dest, dest_p,
+						  adj->adv->baa->attr,
+						  SUBGRP_SAFI(subgrp), 0, NULL,
+						  false);
 				output_count++;
 			}
 			if ((flags & UPDWALK_FLAGS_ADVERTISED) && adj->attr) {
-				route_vty_out_tmp(vty, dest, dest_p, adj->attr,
-						  SUBGRP_SAFI(subgrp), 0, NULL,
-						  false);
+				route_vty_out_tmp(vty, bgp, dest, dest_p,
+						  adj->attr, SUBGRP_SAFI(subgrp),
+						  0, NULL, false);
 				output_count++;
 			}
 		}
diff --git a/bgpd/bgp_vpn.c b/bgpd/bgp_vpn.c
index 8fe24ebe20..2470fb8844 100644
--- a/bgpd/bgp_vpn.c
+++ b/bgpd/bgp_vpn.c
@@ -191,7 +191,7 @@ int show_adj_route_vpn(struct vty *vty, struct peer *peer,
 				}
 				rd_header = 0;
 			}
-			route_vty_out_tmp(vty, rm, bgp_dest_get_prefix(rm),
+			route_vty_out_tmp(vty, bgp, rm, bgp_dest_get_prefix(rm),
 					  attr, safi, use_json, json_routes,
 					  false);
 			output_count++;
diff --git a/doc/user/bgp.rst b/doc/user/bgp.rst
index 4619fec6a7..68ae796bc9 100644
--- a/doc/user/bgp.rst
+++ b/doc/user/bgp.rst
@@ -425,6 +425,11 @@ Route Selection
 
    Disabled by default.
 
+.. clicmd:: bgp bestpath med missing-as-worst
+
+   If the paths MED value is missing and this command is configured
+   then treat it as the worse possible value that it can be.
+
 .. clicmd:: maximum-paths (1-128)
 
    Sets the maximum-paths value used for ecmp calculations for this