2-1/4" 14kt Gold Filled, Crucifix, your choice of chain, # 45601
The bottom of this image was accidentally cut off.  The complete bottom is the same shape as the sides and top of the cross.

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.