A medal is a small, portable, artistic, coin-like object that can have many different meanings or reasons for issuance. They have a design on one or both sides, and normally made of metal. They may be intended to be worn, suspended from clothing or jewelry in some way. They come in many sizes, from a fraction of an inch to several inches in diameter. Medallions are larger medals (generally four inches or larger) that are generally too large to be comfortably worn. They may be die-struck or cast in a mold.