The reverse of the coin depicts a highly detailed image of a Lakota Shaman. Sometimes called a "Medicine Man", these people were the traditional religious or mystical experts who, in traditional Native American societies, functioned as healers, prophets, and custodians of cultural traditions. All around the reverse, the inscriptions: "SHAMAN" – the name of the coin, "999 SILVER" – the fineness of the Silver, "2023" – the year of issue and "ONE TROY OUNCE" – the weight of the coin. The obverse of the coin depicts the Coat of Arms of Oglala Lakota Sioux Nation and, all around, the inscriptions: "OGLALA LAKOTA SIOUX NATION" and "AMERICA" – the country of issue and "ONE DOLLAR" – the face value.
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