Hand-made cover that fits a standard box of tissue that is 160 count. It has black fringe trim at the bottom and black decorative  trim around tissue opening. There is an elastic strip with  velcro closure  at the bottom to hold the cover in place . Great for Halloween , an X-ray tech, or a grateful dead fan. The two of the pillows have a spider web with two spiders and two with skeleton print dancing. Made with thick fabric. Mr. Skel.E.Ton will greet one each time a tissue is needed. The tissue box is not included  to save on shipping.Fits a standard size box of tissues 160 count, which is included.