Used for about a year and a half. The Tornado Stick is not included as I used it. Please purchase separately. (It can be used without it, and I found the water pressure to be stronger and more practical without it.) I cleaned it regularly, so I think there's not much dirt. However, there is some discoloration on the connection part with the shower hose (photo 12). Also, there are some scratches from bumping it, so please check them (photo 11). The stop button and the shower switch work without any problems. However, this is a used item, so please understand this before purchasing. The only accessories are those in the photos. White Mirable Zero showerhead, with replacement parts. - Brand: Mirable - Model Name: Mirable Zero - Accessories: Replacement parts (S:20, P:20) - Color: White - Type: Showerhead Thank you for looking.