4-Way Medal / Cruciform Represents Ones Devotion to the Saints This Attractive 4 Way Cross Pendant is 23 mm Tall Antique Finish to Highlight detail Comes with a 24 inch 1.8mm Sterling Silver Italian Curb Chain Solid 925 Sterling Silver The Cruciform 4 Way Medal is a Cross-shaped medal that Includes the Sacred Heart St. Joseph St. Christopher and the Saint Mary Miraculous Medal. Four Way Medal is a principal symbol of the Christian religion. It is primarily used in the Catholic Church but is also used in some Lutheran churches Anglican churches and Eastern Orthodox churches and it emphasizes Jesus' sacrifice his death by 4 way cross which Christians believe brought about the redemption of mankind. This Necklace is Solid Sterling Silver and antiqued to Highlight the Details. Available with or without a Silver Chain