Size - I have a medium sized head and the hat fits when I put it on the very last button. Luckily for my son this is for Halloween. It has a big head for a 9 year old and fits 3 buttons. I can't imagine it would be comfortable for an adult. On a button it seemed to me that it would fly off the head, that it wasn't seated deep enough. The first thing I noticed when my son tried it on was that the image of the tree was a bit off-center. If it wasn't for his Halloween costume I'd trade it in, but I don't want him without since we're limited in time.
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