Ruby is the obvious gemstone choice for deep, rich red. Pyrope garnet and spinel also have terrific deep red color. Most of the other "red" gemstones are pink: rhodonite, rhodochrosite, pink topaz, pink sapphire and rose quartz, and manganese or chromium are trace elements giving rise to pink colors. Rose quartz is often dyed, though I prefer the naturally colored stones and use them whenever possible. Naturally pink topaz is quite rare, and like blue topaz, most pink topaz on the market has been irradiated to enhance color.
The Swarovski crystal color "ruby" can be difficult to find but the color - like its gemstone namesake - is well worth the search. "Siam" is a nice deep blood red, and there are many shades of pink: "rose", "light rose", "Indian pink", "vintage rose" and "rosaline".
Deep red dyed pearls are uncommon but pale pink dyed pearls are plentiful and quite pretty. Wood with red dyes or stains have a striking but still natural look, and red-dyed fibers will always be eye-catchers.
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