Mega Jumbo Face Cushion Everything shown in image 1 is what will be provided. The item in the lower left appears to be a tissue box cover, but I'm not entirely sure. As far as I can see, there are no noticeable scratches, stains, or signs of use, but it wasn't stored in a bag, so please refrain from purchasing if you are overly concerned about the condition. Only the two Mega Jumbo Face Cushions have paper tags. The other two items do not. No individual sales or price negotiations. Such comments will be deleted without a response, so please be aware.