Happy Friday! Here is a legitimate two-sided reverse penny, and not a concoction. It is as struck by the Royal Mint and certified by NGC:
Well it is as struck, AU58, but struck during an era of “mint sport” presumably on purpose. My favorite are the off metal strikes with regular obv and reverse Pennies. Something of a debate as to whether designated an error though.
I think in the US this kind of "sport" is no longer possible because the dies only fit in one side of the press. Someone correct me if I'm wrong. Not sure about other countries.
That's the correct orientation for British coins. I'm wondering what his looks like, whether it's the correct orientation.
Medal vs. coin alignment being correct for a coin made through mint shenanigans doesn't really matter. I imagine any orientation could have been produced if desired.