The Four Way Medal incorporates four of the most cherished Catholic devotions: the Sacred Heart of Jesus, the Virgin Mary, Saint Joseph and Saint Christopher. Each one is a profound reminder that as Catholics, our adoration to Jesus Christ and our devotion to the Virgin Mary and the saints are not separate, but instead one integral component in the Catholic faith. Each Creed® Four Way medal is made of sterling silver and is bright cut by hand to ensure high-quality detail and definition. All are handcrafted in the United States and come with a stainless silver chain in a leatherette Creed® jewelry box.