The oval medallion pendant is a format with enough visual mass to anchor a necklace without requiring a complicated design - the shape itself does the work. Rachel Zoe centers this medallion on a lab-created turquoise stone in 14K gold over sterling silver, the cable chain carrying the pendant at 16 inches with lobster claw clasp and extender. Lab-created turquoise delivers consistent color - the even, vivid blue-green that natural turquoise rarely achieves uniformly - which matters in a medallion setting where the stone is the focal point. The gold surround works with the warm undertones in turquoise in a way that silver cannot replicate. This is a color pendant for the wearer who wants a meaningful stone in a modern format.