This exceptionally detailed die-cast medal, with Pope Francis on the front and Our Lady Undoer of Knots / Untier of Knots on the back, 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. Medal is approximately 1 inch in height. Attached jump ring is included.