Only the items shown in the image are included. The second and third images are reference photos; the items for sale are clearer in the fourth and fifth images. The doll is in good condition, but the ankle joints are loose. No earrings. The ring and ribbon are substitutes. The underwear is slightly fuzzy. Please refrain from bidding if you are looking for a pristine item, are overly sensitive to imperfections, or have ever received a negative review or written a "disappointing" comment to a trading partner, regardless of the website. Shipping will be via Yu-Packet Post. I am also selling other Licca-chan dolls (^^) Thank you for your interest.