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The small scale of this painting and its protective covers facilitated its use as a portable icon. The hollow wooden cylinder attached to the body allowed the painting to be suspended from the owner's neck. The practice of wearing icons of the Virgin as pendants is documented in written sources as early as the fifteenth century. The main scene on this doubled-sided pendant commemorates the feast of Däbrä Metmaq. According to the "Miracles of Mary," this feast was instituted to celebrate an event that occurred annually in the church of Dayr al-Magtas, Egypt. For five days each spring, Mary miraculously appeared inside the cupola of the church, bathed in light and surrounded by angels. The main panel of this icon captures the visionary character of this event by enclosing the Virgin in a band of yellow light. Seraphim surround the outer border of red. The archangels Michael and Gabriel, depicted on the inside cover, evoke the heavenly hosts that accompanied the Virgin. By representing the major figures, the painter recreated the miraculous apparition in miniature for the pendant's owner. As the Festival of Däbrä Metmaq was especially important to women, and as the reverse of the pendant also bears the likenesses of two female martyr-saints, the patron of this work might have been female. The legend of the 15th-century saint Krestos Sämra describes how Christ bequeathed to her a painting, which he hung pendant-like around her neck. The delicately carved, painted covers transformed the closed pendant into a cherished object of personal devotion.