This sterling silver four way medal is a great gift and will be a keepsake that will be worn for years to come as a reminder of a very important day. A 4-Way medal makes a great religious gift for Confirmation, First Communion, or any sacramental occasion. The 4-Way medal combines the elements of four medals into one: 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 other side of the medal reveals Our Lady of Mount Carmel (which is the back side of the Scapular medal), and the back side of the Miraculous medal. The 4-Way medal measures 1 inch, comes on a 24 inch stainless steel chain, and is beautifully packaged in a velvet textured jewelry box. This is item 38999 in our catalog.