Sterling Silver Small 4-Way Medal with Red Holy Spirit – 18" Chain This exquisite four-way combination medal features the Miraculous, Scapular, Saint Christopher, and Saint Joseph medals, beautifully crafted in solid .925 sterling silver. The medal is die struck, hand polished, and engraved by expert New England Silversmiths, ensuring exceptional quality and detail. Measuring 0.9" x 0.7" (24mm x 18mm) and weighing 2.3 grams, this meaningful piece is paired with an 18" genuine rhodium-plated curb chain for durability and shine. Proudly made in the USA, it arrives in a deluxe velvet gift box, making it a perfect keepsake or gift.