The cards are handcrafted and accented with unique embellishments. Each card measures approximately 4.25 x 5.5 (A2 size). Due to the handmade nature of these cards, each one might have a slightly different look. We use Stampin' Up! products. Do you wish this card said "Get Well", "Hello" or "With Sympathy"? Just let me know in the comment section and it can be done.