Comes with all 4 Apex modules, original eartips (except for one set of Foams), original cable, and a Kinera Ace 2.0 that I greatly preferred over the stock cable. You'll notice some wear on the left IEM, a few spots where the color coating has come off. This is purely cosmetic and the structure of the shell isn't damaged at all. I tried to show all the spots this has happened. Probably my favorite IEMs so far, I just don't listen to non-Bluetooth IEMs enough to justify keeping these.