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Die struck, hand-engraved miraculous medal is adorned with jet black Swarovski crystals. Free 24-inch, stainless steel heavy curb endless chain with silver plating. Dimensions: 1 1/8in x 3/4in with jump ring. This item is slightly larger than a quarter. Made in USA. Back of medal features an M, surmounted by a cross, with 2 hearts and 12 stars.