Sterling silver hand-engraved antiqued finish Four Way medal on an 18″ stainless steel chain with a rhodium finish. The medal measures approximately 5/8″ in length.It has an image of the Scapular (Sacred Heart of Jesus on the front, Our Lady of Mt. Carmel on the back), St. Joseph, St. Christopher, the Miraculous Medal, andthe Holy Spiritin the middle.Comes gift boxed.