Size was a true American Large and it was a Large I ordered. Soft, long enough tail to stay tucked in yet still looks great hanging out. Washes soft (no print feeling to the skull on your skin). 100% cotton but didn't shrink that I could tell, so it must be pretty well pre-shrunk. Image looks great and it certainly gets noticed. I really like it. I would prefer this on the Back and a slightly smaller one on the front. But I definitely felt I got what I felt I was buying. Like the way it gives a sortof 3-D illusion. I wouldn't recommend THIS particular pattern if you have a gut, though. It would make the lower part of the skull bulge out weirdly.