This handsome 4-Way medal is one of our most popular pieces of religious jewelry, especially for religious sacramental occasions such as Confirmation or First Communion. The 4-Way medal is a favorite of Catholics, and even has the words, 'I am a Catholic. Please call a priest' on the back of the medal, which is useful during a medical emergency in which you cannot communicate. Like all 4-Way medals, this exquisitely designed necklace features the Scapular (the Sacred Heart of Jesus) on top, St. Joseph on the left, St. Christopher on the right, and the Miraculous Medal on the bottom. The sterling silver cross comes on a 24 inch stainless steel endless chain, which is the perfect for most boys and men or women who prefer a longer chain. Like most of the quality inspirational jewelry that you can buy at St. Patrick's Guild, it comes in an elegant hinged jewelry box.