1-3/16" Sterling Silver 4-Way Medal Made in the USA. The Cross shaped Medal is adorned with St. Christopher, St. Joseph, Sacred Heart of Jesus, a Miraculous Medal and a Holy Spirit. The Revers side of the medal portrays the Saints. Die Striking only the finest Grade Solid Sterling Silver Stock, enables the Intricate Details of the Coined Precious Metal to fully show when the Antique Finish from Hand Polishing is Applied to each Medal. It is then Highlighted by Hand Engraving, to Display the Beautiful Sheen of Pure Sterling. A 24" Rhodium Plated Curb Chain is Included with a Deluxe Velour Gift Box.