21GRAMS

The creative agency of Real Chemistry

Medicine can’t move people like sneakers do. Real Chemistry Can.

21GRAMS isn’t just a name. It’s the philosophy and intention behind everything we do. Legend says it’s the weight of the soul, a fitting name for an agency built to tap into the human spirit. Understanding audiences and what matters to them isn’t just our specialty. It’s what healthcare was missing.

Our mission is to make medicine feel more inspiring than sneakers. Because medicine changes people’s lives. Sneakers just go on feet. Since day one, 21GRAMS has proven that the bar for creativity shouldn’t be lower because this is about health. It should be higher because there’s more at stake. And that’s how we’ve become globally recognized for highly effective healthcare advertising that actually “gets” people.

Ever Gold Lion awarded at Cannes for branded, regulated, pharmaceutical work.

  • What we do
  • How we get it done


At 21GRAMS, we specialize in strategic and insight-driven creative work that moves people. From early stages through launch and beyond, we deliver incredibly effective work that helps our clients outperform projections, and makes audiences feel.

We can (and have) done it all, for brands big and small, end-to-end. The biggest difference: we are 100% connected with Real Chemistry. We operate as one company and can assemble an integrated team overnight. If you’re looking for a brand-building, market-shaping, full-service creative AOR, and so much more, look no further. Contact us.



ROOM42 is our full-scale global production hub and your dedicated production engine, fully integrated to bring ideas to life.

This room has done it all, from intimate documentary films to video, digital, print, audio, animation, podcasts, video games, digital experiences and more, all with robust QC processes.

Why it matters? As the backbone of our execution model, ROOM42 ensures consistency at scale, across regions and timelines and at every stage of a brand’s lifecycle.

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Our leaders hold healthcare to the
same standards as the brands we all love.

Michele Terra

President, 21GRAMS

Frank Mazzola

Managing Founder, 21GRAMS, and Global Chief Creative Officer, Real Chemistry

Maureen Alves

Global Chief Strategy Officer, 21GRAMS

Tom Richards

Global Chief Creative Officer, 21GRAMS

Camilla Griffiths

President, 21GRAMS Europe

Jill Landaker Grunes

Chief Production Officer, Room42

Jaime Kaminer

Head of Medical, 21GRAMS

Sarah Fraser

EVP, Executive Director, Portfolio Lead, 21GRAMS

Alison Loiacono

EVP, Executive Director, Portfolio Lead, 21GRAMS

Liz Muccino

EVP, Executive Director, Portfolio Lead, 21GRAMS

Lauren Pollina

Executive Creative Director, 21GRAMS

Christopher Charles

Executive Creative Director, 21GRAMS

Chris Rudnick

EVP, Corporate Strategy and Operations, 21GRAMS