I had looked for a beautiful anatomical necklace for many years. And this heart was really the best, my love. It came with a chain and a cloth for jewelry. It is as beautiful as on the picture. Only two small moments: I thought it is flatter and thicker, but it is thin and has slight bulge (but it is totally my problem). Also a slot in its ring too big for this chain and once I lost my necklace at home (and found). But I am still very happy to have this great anatomical jewelry.