Unopened, brand new item. The second photo shows the item I'm currently using, which is the same product. I'm selling this to someone who is looking for it. I don't remember if batteries were included. It can be turned on and off. Pressing the ⭐️ button in the bottom center plays a song where Shimajiro sings "Let's brush our teeth! Shaka shaka!" When I showed my child a YouTube video using this toothbrush mirror and brushed their teeth together, they went from hating brushing to letting me brush their teeth!! (Results may vary) Please refrain from purchasing if you are overly concerned about details. Keywords: Birthday Christmas Stuffed animal Disney Tomica Cars Fire truck Police car Curious George Shinkansen (bullet train) Deep sea fish Fish Tom and Jerry Anpanman Winnie the Pooh Neko Atsume (Cats) Minecraft Splatoon Pikmin