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He is a medium and it fits well. He likes to wear it every chance he gets. That being said, I've washed the t-shirt several times and have had no issue of shrinkage or deforming. There has been no issue, so far, of the graphic wearing off (although it's been only a couple of months). The t-shirt seems to be of good quality as it is not thin.
Would definitely buy again as well as other t-shirts with different graphics.
He just LOVES this shirt, he wears it every week!
On the other hand, the 4XL and 4XLT shirts that I ordered from IZOD, Champion, and Adidas were all much larger than this shirt. Again, I expect they would be _some_ larger, but they were much larger. Considering that I had multiple brands in 4XL/4XLT that were all a bit too large, and a single 3XL that was slightly small, I think the 3XL was probably on the small side instead of all those other 4XL's being on the large side. This is still wearable for me, but there's not as much ease as I generally like in my shirts.
If you are worried about sizing, do what I did. Order one shirt, try it on, order more if you like. I've ordered several different shirts now and enjoy them.