Like new! Tiffany & Co. Mom heart charm. Sterling silver Comes with clasp also from Tiffany's to attach to bracelet. Pouch not included but will have a box. Copy of receipt also included to prove authenticity. I purchased back in 2019 on the Tiffany website for my bracelet but sadly have only worn twice so I'm selling it so someone else can appreciate. It's polished and ready to go. A few minor scratches from wear.