Carnelian can be confused with shell, especially in cameos. Stone cameos carved from a carnelian background with a white agate or onyx foreground can look very similar to traditional shell cameos.
To tell them apart, you can use one of two tests on a discrete, hidden part of the cameo.
First, shell is very soft, rating only 3-4 on the Mohs scale, while carnelian is a 7. A piece of steel (4), glass (4-5.5), or a knife blade (5.5) would scratch the shell, but not the carnelian.
Second, apply a drop of hydrochloric acid to a hidden spot on the cameo. A shell would bubble and fizz in that spot because it contains calcium carbonate, while a carnelian stone wouldn't react at all.
Jamie Frandsen wrapped this carnelian cabochon with copper wire into a pendant.