XL Blue Enamel Miraculous Medal, Medal of the Immaculate Conception, Tall, Oval-Shaped Miraculous Medal. Extra large blue enamel accented version. Die cast in Italy for exceptional detail. The extra large size of this piece brings out every detail of its beautiful design, and the deep blue enamel. Two sided silver oxidized, and made in Italy. Measures 1 3/4" tall by 1" wide. Stainless Steel Ball Chain is 30"" (60cm) long, 2.4mm wide. - AWESOME Silver Alternative! Made in USA! Simply cut with a pair of kitchen scissors. Blessings!