Okay, I'm Stumped... Help!

The building looks to be Christian, note the crosses on top of the two front and central towers.
The holding hands with a third placed on the top and then the triangle above suggests a cloth. The only thing I can think of is a connection to a marriage. The 'squiggles' below the hands have a South-east Asian look about them. The 'church also has that colonial look which might also make it Central/South American.

So I'd take a stab at a wedding medallion.

I'm not seeing any script or squiggles, just some wreaths. As others have said, it's a token or medal of some kind, not a coin.

With all the crosses, it's definitely a Christian church on the obverse. But the "minarets" make me think it might be a Spanish or Spanish-influenced church. The Mexico City Cathedral seems to fit the bill nicely, as far as general design and layout goes, though it actually only has two "minarets" rather than the four pictured on the token.

Best guess: a Baptism or First Communion memento.

This is a Mexican "Arras token" also known as a "recuerdo matrimonial" coin or token, exchanged as part of a wedding ceremony. The first image is upside down - it is clasped hands in front of a heart. The website I saw identified the church as the old Basilica of Our Lady of Guadalupe in Mexico city, which makes sense and is a good match. It is a common design on these tokens.

, saxdiva!