Heartland Men's Large Round Sterling Silver St. Jude Medal + USA Made + Chain Options SIZING: 1 1/4 inch (including the top loop) x 1 1/8 inch EXPERIENCE: Made in USA by 100+ Year Old Family-Owned Bliss Manufacturing with artisans using their generations of knowledge and skill QUALITY: This large top quality pendant is made from Genuine .925 Sterling Silver NO NECKLACE INCLUDED: This is just the pendant only so you can pair with your own chain. The supplied jump ring can accommodate a chain up to about 3.5mm thick. RISK FREE! Does this come with a quality guarantee? YES!! Your purchase is covered by a LIFETIME Warranty