Custom Elias MedallionCUSTOM ELIAS MEDALLIONS Have a pet, family crest, or another meaningful image you want to commemorate? Work with our team to customize any of our signature Heirloom Medallions in solid sterling silver and solid 14k gold elements. CLICK HERE TO WATCH the story behind how our custom medallions began. The Details: Each Medallion comes with complimentary recessed machine engraving on the back. Choose a single letter, interlocking initials, or a short