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You will get the exact item shown. Image is 1.60 Inches. Keychain is 3.50 Inches **Not responsible for item during shipping. ***It is important to note that any information provided is not intended to replace medical care. While it may be helpful in certain situations, it is always best to consult with a qualified healthcare provider for any medical concerns or conditions. This is especially true for serious or chronic illnesses, as they require specialized treatment and management. Therefore, it is important to always seek professional medical advice before making any decisions regarding your health.