A high proportion of Elizabeth Gage pieces are sold worldwide, predominantly to the USA. As a consequence in 1989 she received the prestigious Queen's Award for Export Achievement, an award she is justly proud of. Even today she maintains a high percentage of export sales.

The award itself was presented to Elizabeth by the Lord Lieutenant of London at a private party, held by Elizabeth at Claridges in London, which included a retrospective of her work. Following the presentation, Elizabeth attended a party at Buckingham Palace. After being presented to the Queen and Duke of Edinburgh they had the chance to meet other winners and talk to the Royal couple.