This medal measures 3/4″ long. The frame of the medal and the heart in the center is 18k gold over sterling silver. The rest of the medal is made from sterling silver. The 4-way medal features images of the Scapular (Sacred Heart of Jesus on the front and Our Lady of Mt. Carmel on the back), St. Joseph, St. Christopher, and the Miraculous Medal. The back of the medal also reads “I Am A Catholic Please Call A Priest”. The medal comes on an 18″ stainless steel chain. Comes in a red velvet gift box.