The Essential Worker Themed Mask is made once order is placed. Please allow 7-10 business days for mask to be completed. That does not include the shipping time, which is usually an additional two days. Each masks comes with 4 patches and 1 button randomly picked for you. If you place an order for this style mask, please make sure to leave your profession (Doctor, NP, Nurse, STNA or Aide in the section titled “special instructions for seller” section upon checkout.