This large Maltese 4 Way cross is a finely detailed sterling silver medal on a 24 inch rhodium-plated stainless steel chain. Made in the U.S. The 4 Way medal depicts the images of the Sacred Heart of Jesus (front of a scapular medal), Immaculate Heart of Mary (front of a Miraculous Medal), St. Joseph and St. Christopher on the front; the back features Our Lady of Mount Carmel (backside of a scapular medal), the 'M' surrounded with stars (backside of the Miraculous Medal), and the statement 'I am a Catholic. Please call a priest,' Beautifully boxed in a green velvet-look hinged jewelry box.