This beautiful, large centerpiece with blue enamel is in the shape of an "M" for "Ave Maria" and features the miraculous medal. Italian-made, silver oxidized, 1" (2.6 cm) in height. The Miraculous Medal is known as the Medal of Immaculate Conception, created by St. Catherine Laboure following a vison of the Blessed Virgin Mary. This medal is believed to bring special intercessions on behalf of the Blessed Virgin Mary if worn with faith and devotion at the hour of death.