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1-1/4 x 3/4 inch polished and satin finish two-tone sterling silver with 18kt gold plated center and accents starburst filigree Miraculous Medal on a 20 inch stainless steel rhodium plated chain. The starburst medal features filigree carved detailing on the bright silver star that holds the gold plated Miraculous medal in its center. The gold center oval medal features a raised and engraved image of Mary in the center, surrounded by the words, "O Mary, conceived without sin, pray for us who have recourse to thee." Outside of the centerpiece and around its border are additional gold plated accents. On the back of the medal in a brushed finish is the letter M, representing Mary, surmounted by a cross representing the sacrifice of Jesus, and surrounded by twelve stars that represent the twelve apostles.