14K Gold Imperfect Hearts with Gemstones (choose between diamond, ruby, sapphire gray spinel or tsavorite garnet) are handmade to order. Each one-of-a-kind imperfect heart is hand fabricated from melted gold. The back can be stamped with initials or dates. The price of each heart depends on the weight of the gold, your gemstone choice and size, and the chain style you choose. Please email or call me for price quote or to discuss.