Each bead has been hand-sculpted then painted, glittered and glazed, lastly, strung upon a stretchy black cord. The main focus bead dangles on a short chain and is a heart with horns and the word "Twisted" painted across it. There are four small focus beads: "Stitched Up" heart, "Sucks" heart, black patched up heart, and a heart with a tiny black rose sculpted on it. A unique treasure for someone with unique taste.