This exceptionally detailed die-cast 4-Way medal include the Sacred Heart medal, St. Joseph medal, St. Christopher medal, and the Miraculous medal. on the front and the words Pray for Us on the back. It is made in the region of Italy that produces the finest quality medals in the world. The silver oxidized finish is has been perfected for hundreds of years by the local Italian craftsmen, and remains unmatched in quality, beauty, and longevity throughout the world -a genuine silver plating with a 3-dimensional depth, and long-lasting brilliance. Measures approximately 1 inch in height - attached jump ring is included.