"Large Skull Tokens" are a set of 16, laser cut, 2mm MDF gaming pieces. They can  be used to represent wounds on multi-based models or wounds on multi-wound monsters or heroes.

In Kings of War the "Large skull Tokens" can be used as 5's and the "Skull Tokens" as 1's when recording damage to units.

I often use these as shock markers for Sharp Practice. 

Approximate dimensions: Height to top of skull 23mm

Width left to right 21mm

Coins are for scale purposes only. The last picture also shows the "Skull Token" regular size.