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A beautifully preserved mid-19th-century Russian Orthodox icon depicting the Mother of God “Joy of All Who Sorrow”, one of the most cherished miracle-working images in Orthodox Christianity. The Virgin stands at the center holding the Christ Child, surrounded by the suffering, the sick, and the poor, while angels offer comfort and assistance under the blessing of Christ above. This beloved icon symbolizes the compassion, mercy, and intercession of the Mother of God for all who seek her aid in times of hardship. Hand-painted in traditional egg tempera on an original wooden panel, the icon is enriched by its luminous gilded background, vibrant colors, and finely executed narrative composition. The harmonious arrangement of figures, elegant inscriptions, and refined craftsmanship reflect the quality of a skilled provincial Russian workshop, preserving both its devotional significance and artistic beauty. The icon retains its original historical character, displaying an attractive aged patina with well-preserved painting throughout. Its harmonious composition, authentic construction, and impressive presentation make it a distinguished example of Russian Orthodox ecclesiastical art and a valuable addition to any serious icon collection. Condition: Overall very good antique condition with age-related wear, minor paint losses and abrasions along the borders, scattered craquelure, and light evidence of historical conservation. The original wooden panel remains structurally sound, retaining its authentic character and centuries-old patina.