Includes all items pictured. The quality ranges from acceptable to good. The clothing in mostly in good condition. The pink shirt/pants have pebbling and a couple of small holes. Accessories may be stained, scuffed, or missing parts. The primary damage I found is pictured. The doll and accessories have been in storage for over a decade. It all has a musky aroma similar to that of an antique store. You might want to wash the items and air them out to help refreshen the scent. I have not cleaned of tested any parts. Comes from a smoke free and cat free home.