Comes with earring hook! Remember, this is only ONE item. If you want two earrings (assuming you have two ears!) then you will obviously need to order another... ***** PLEASE READ BELOW **** With all kinds of problems printing in silver and the fact that the lettering seems to have disappeared on upload I am taking this out of sale and will have to do a complete revision. If you would like to be notified when I have done this please email me at gslinger at rogers dot com.