Talk like a pirate, examine like a pirate and pick up like a pirate.
This coin is based on the verbcoin from The Curse of Monkey Island by LucasArts. The game was 2d, so this obviously isn't just a ripped game and required hours of work to make 3d printable.
I recommend using supported file. It should print with ~0.15 layers as is without additional supports. Use unsupported if you want to use your own supports, but I recommend printing it standing up, because Z-direction has usually much better resolution than X/Y.
I did first draw a vectorised version of the 2d art from the game in Inkscape, then extruded it in Fusion 360. Final smoothing was made in Meshmixer, because it made the coin look much better than simple fillets in F360.