Sterling Silver Healing Hand Pentacle Pendant With Amethyst This item does NOT include a chain. We make your items in the United States of America USA. Most of our items are made after they are ordered. Please give us 10 days to make your items before you expect them to be shipped. If your item has stones please know that each stone is unique and will likely have some variance from the picture. Please note that because your order is a custom order if you return the item back to us we charge a $10 restocking fee for sized rings without stones and a 20% restocking fee for any items that contain stones.