Miraculous Medal with Detailed Enamel on 18" Silver Tone Chain with Clasp Sterling Silver Miraculous Medal with Detailed Enamel with by Creed Included with 18" Silver Tone Chain with Clasp Packaged in Deluxe Creed Gift Box Medal Measures Approximately 1-inch Height and .6" Wide Quarter in the Picture is to help illustrate the size and is not included.