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Add > Mesh > Gem (or Shift+A > Mesh > Gem). A Round gem appears at the 3D cursor.
Select the gem object, then use the Gemgen tab in the N-panel sidebar or the Gemgen panel in Object Properties. Only parameters relevant to the current cut type are shown.
Pick a different cut from the dropdown — the mesh regenerates and good proportions are applied automatically.
With a Gemgen object active, drag the arrow handles to adjust size and proportions directly in the viewport:
Click Set Good Proportions in the Gemgen panel to reset parameters to balanced, jeweler-standard ratios for the current cut type.
The Full edition includes a ready-to-render .blend file with pre-configured gems, materials, and lighting. Open it via File > Open.