1.75 inch long Italian silver with blue enamel Miraculous Medal in a silver princess frame

the front says "Oh Mary Conceived Without Sin Pray for Us who have recourse to thee"

The back is stamped Italy

It comes on a 20" sterling silver snake chain with lobster clasp, stamped 925

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The Miraculous Medal (French: Médaille miraculeuse), also known as the Medal of the Immaculate Conception, is a medal, the design of which was originated by Saint Catherine Labouré following her vision of the Blessed Virgin Mary and made by goldsmith Adrien Vachette.