Beautiful older medal or medallion of carved Mother of Pearl of the Virgin Mary in a pose similar to the Miraculous Medal, lovely detail, lustrous MOP, set on a sterling silver base with marcasites. It is marked on the back Sterling Germany. Included is the chain that was on it when I bought it, not old and not sterllng. The medal measures 1 and 1/4" tall and is in good condition. The original bale of similar design is 1/4" tall. I have not polished the sterling at all. Very unique older medal.