This sand ornament honors the Health Care Workers, our American Heroes, who provide such an important service on our front-lines. Not all heroes where capes and these essential workers show their passion to save patients by putting them first, is so greatly appreciated. Yes . . . . it is made with REAL SAND and is as durable as ceramic. A tag is attached to each ornament indicating that it is “handcrafted with sand” as well as “Made in Florida-USA” Plus . . FREE SHIPPING!!.