Pet Friendly Three Knot Rope Toy Medium – a cotton-blend two knotted twisted rope toy a great way to support health teeth and gums; an ultimate toy which includes interactive games and offers a chewing challenge. Pet Friendly rope toys are made 100% in the United States and use no artificial colors flavors ingredients additives or preservatives. Please allow for color variations in the rope. Supervision is recommended when giving your dog any toy or treat. Provide plenty of fresh water when giving any toy or treat to your pet.