The design of this pendant was intentionally left  rugged and raw, because that's what this disease is, and that's how it has left our country and our world. 
 
100% sterling silver domed front on flat back, each spike protruding from the object, filed to shape.  Red painted tips. 
 
Dimensions:
Main body:  1-3/4" x 1-3/4";  "1/4" height
Spikes:  apx. 1/4"
Hanger:   1" total (1/2" bail+ 1/2" loop)