Heirloom collection. This medal is hand drawn. Only one has been created so far. It is Sterling Silver and designed with extremely intricate detail. Took 2 months in the shop to perfect the design. It is very large, at 2.5 inches in diameter - and sterling silver. The IHS medal is designed after an image found on a Church in Siena, Italy. It is a large medal and can be worn or displayed. The back of the medal was specially designed to fit large silver chains. The medal will be made upon being ordered and will arrive in about 2 months. A silver chain can be ordered for an additional charge.