Miraculous Medal in Sterling Silver with Gold Overlay. The traditional 1" oval medal is surrounded by eight hand-set clear Austrian crystals and is adorned with a finely detailed Blessed Mother Mary with rays coming out of her extended hands. The reverse side of the medal portrays an "M" with a cross on the top and the Sacred Hearts underneath surrounded by twelve stars. Made in the USA by skilled New England Silversmiths who hand-polish each medal with a fine satin finish and hand-engraved highlights. Supplied with an 18" genuine gold plated chain in a deluxe gift box.