I can't give a lot of specific help but it definitely looks medeival to me. The cross on the back makes me think maybe it's a crusader coin? That last part is just a guess, but this definitely looks medieval to me.
My best guess after looking a little on Vcoins (it seems like Wildwinds is down?) That it's definitely medieval and probably Italian, but I'm sure that somebody with more knowledge than I have will come along soon and settle this question for both of us!
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