The god Aker, protecting the entrance of the Other World1, was depicted as the foreparts of two lions back to back representing the eastern and western horizons1. Amulets of Aker in carnelian or ivory are rare and were made in between Dynasties 6 (Old Kingdom) and 12 (Middle Kingdom)2

Carnelian L 1.2, H 1.0, T 0.4 First Intermediate Period? © The Trustees of the British Museum #EA57773

Carnelian with suspension loop L 2.1, H 1.9, T 0.6 Middle Kingdom Dynasty 11-12 Private collection DA

References

1Wilkinson R H. The complete gods and goddesses of ancient Egypt, 2003, Thames & Hudson, p. 176 
2Andrews C. Amulets of Ancient Egypt, 1994, p. 90 and Figs. 4c and 67c