Miraculous Medal with an 18" Chain. Available in 16k gold over sterling silver and .925 sterling silver. Sterling silver medal is all sterling silver with a genuine rhodium-plated, stainless steel chain. Gold plated medal is 16 karat Gold plated over all sterling silver chain, medal and clasp. Comes is a deluxe velour gift box. Dimensions: 0.8" x 0.6" (20mm x 16mm). Made in the USA.