This gold medallion was one of the 882 identical pieces of Aztec gold that laid upon the cursed Treasure of Cortés. Of an ancient design, the medallion had an ominous skull at the center of it. After being cursed, the crew of the Black Pearl led a desperate search for all the scattered pieces of the gold, including this particular medallion. During the crew's quest, this medallion would come into the possession of Will Turner and Elizabeth Swann.