Although not actually mistletoe but holly leaves and berries, it's still a very cute holiday item! The metal is not very high quality, but quite decent for the price. It doesn't seem super cheap either, if you get what I mean. I haven't really had a problem with metal irritation, but I've also never been overly sensitive when it comes to body jewelry. So if you're more sensitive, I'd play it safe with this one. After wearing it for about two weeks, I got a small green spot on my belly button where the pendant itself hangs, but I didn't notice any discoloration around the band or anything like that. The pendant itself is cute, the leaves are painted with glossy paint onto a thicker piece of metal that hasn't chipped after a month of wearing, and the berries are small red gems that look like they're set in there pretty well. Overall I'd say it's a really cute piece that's perfect for the holiday season and while it's not technically mistletoe I think you can still use it for a joke and it's played well. The attached photo is a better representation of the gems but it gives you an idea of what you will be getting!
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