Four-way combination Medal, Miraculous-Scapular-Saint Christopher-Saint Joseph medals. 16kt Gold over solid sterling silver. Medal is die struck. Hand polished and engraved by New England Silversmiths. Dimensions: 0.9" x 0.7" (22mm x 18mm) Weight of medal: 1.5 Grams. 18" Genuine gold plated curb chain. Made in USA. Deluxe velvet gift box.