Heartland Store Women's Double Sided Sterling Silver Saints Cosmas and Damian Oval Medal + 18 Inch Sterling Silver Chain & Clasp SIZING: 3/4 inch (including the top loop) x 1/2 inch - This is roughly the SIZING: of a dime. EXPERIENCE: Made in USA by 100+ Year Old Family-Owned Bliss Manufacturing with artisans using their generations of knowledge and skill QUALITY: This top quality pendant is made from Genuine .925 Sterling Silver NECKLACE INCLUDED: Includes 18 inch sterling silver light curb chain with clasp. The sterling silver is plated with a thin layer of rhodium to protect it from tarnish and to give it that beautiful high-end look.