St. Philomena Five - Way Medal 1-1/8" 14kt Gold Filled, your choice of chain # 43459

clockwise from top with center image last:

St. Gerard

St. John Bosco

St. Jude

St. John Vianney

St. Philomena
The 14kt Gold on this medal is a significant 1/10th of its final weight.
"Gold Filled" means a thick layer of gold bonded with heat and pressure to a base metal.