Just some more information about Rugged Rosaries. The central knot is the centerpiece and we can add a Miraculous medallion there and we can also add up to 8 patron Saint medals.
There are many companies including ours that will make knotted rosaries where a large knot is in place of the centerpiece medallion.
Many people are surprised to find out that we sell skull rosaries to priests and monks most often. There is a long history of skulls used in rosaries. It is a reminder that we all are mortal and also a reminder of Christ's victory over death. Here is an article about that if interested:The Meaning of Skulls in Rosaries
I agree that skull rosaries are not for everyone, as many people will find it morbid, but they are not improper on a Catholic rosary.
We also do custom rosaries of all kinds from Anglican, to 20 decade rosaries, to pocket rosaries, and all knotted soldier rosaries. And we also make an awesome replica of the WWI Military rosaries for only $29.99. Rugged Rosaries Website
The WWI replica Military Battle Bead Rosaries