The Catholic Sterling Silver Four Way Medal with chain is cast in solid 925 sterling silver. The pendant has a raised design border. The medal has four raised depictions on the front making it four medals in one. The Sacred Heart at the top. St. Christopher on the right: Miraculous at the bottom: and St. Joseph on the left. Comes with a matching 925 sterling silver endless chain which is 24 inches in length. Also comes with a flocked jewelry gift box. The medal size is 28 X 21 MM.