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The reverse of the medal shows Patience, draped and veiled, with arms crossed, chained by the left ankle to a rock, on which stands an urn surmounted by an armillary sphere. Liquid from the spout of the urn falls onto the chain. To the left a landscape. The border is beaded.
Inscription around top circumference: SVPERANDA OMNIS FORTVNA ("All fate is to be overcome").
The obverse of the medal shows the bust of Ercole II d'Este (1508-1559), 4th Duke of Ferrara.
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