It is notable for its Old English runic inscription that has led to the widely accepted interpretation of the item as having been used for healing an affliction either caused by, or conceived of, as a dwarf.

The plaque was found in 2015 during metal-detecting in a field adjacent to a church and near Fakenham in western Norfolk, though the precise location is currently not disclosed.

One face has a single nail hole and bears a carving that has been noted to resemble a human-like mask with a pair of pointed eyes.

[4] It is generally accepted that the plaque was used as part of a healing process, in which by the writing and displaying of the text, the dwarf either causing, or equated to, the illness died, and could thus no longer harm the afflicted person.

[4] The item has been argued to form part of a wider North Sea Germanic tradition that links dwarfs to the onset of sickness, also attested in the 8th century CE Ribe skull fragment and the Ƿið dƿeorh charms found in the Lacnunga.