This is another of the fine medals we sell that are made by Bliss Mfg. in Pawtucket, Rhode Island, USA. They have been making beautiful inspirational jewelry in Sterling Silver, 14kt gold filled, and 14KT Gold for over 100 years. This family owned company still makes each medal one at a time. Each is individually die struck with hand engraved finishing touches (eg. bright cuts, or antiquing) performed by skilled artisans. What's more important is that each of their medals has a lifetime guarantee. Just return the item to your retailer (ME) and they will return it to Bliss who will either repair or replace a defective medal.