"The high priest kept a hatchet next to his altar, using it for a wide variety of ceremonies and sacrifices. Little did he know he would one day become the sacrifice."
Bind On PickupTierVScales With:STR 90%, DEX 65%4.0Weight3000Durability
We can't find any source for this item (quests reward, drop, etc). It's highly probable this item is not obtainable right
now.
It seems that the New High Priest's Ceremonial Hatchet is obtainable.