This pdf is 4 pages long, 1 page SRD/editorial, leaving us with 3 pages of content, so let's take a look!
The Scepter of Perpetual Sacrifice is a dread item and one of the first relics that sprang from the worship of the dread god Khayne - the signature weapon of one deadly warlord of Khayne, the scepter's incantation was completed by an act of mutual destruction, with the fanatic meeting his end when facing one of the legendary sorceror-kings.
Rules-wise, the item is a +2 keen flaming burst spear. Where the item gets interesting is with its critical hits - upon critical hits, the spear deals 2 points of constitution damage to both wielder and victim of the crit. The wielder, though, gets a +2 profane bonus to Str, Dex, Int, Wis and Cha and DR 3/- for damage divided by 4 rounds, minimum 1. Additional crits lengthen the duration and subsequent bonuses are reduced to +1, whereas the DR remains at 3. Since this weapon is definitely evil, good wielders are quite heavily penalized by wielding this weapon and for every week that goes by without the wielder slaying an intelligent, the wielder gets -1 to all skill-checks based on mental attributes. Against foes sans blood, the weapon is less efficient, working only as a regular +2 keen flaming burst spear.
The pdf also comes with item-cards for the weapon.
Editing and formatting are top-notch, I didn't notice any significant glitches. Layout adheres to a beautiful 2-column full-color standard and the pdf comes with a second more printer-friendly version. The artwork, as always, is awesome and beautiful - though honestly, I have a minor issue with it - the weapon works as a spear, when the artwork simply makes the weapon look more like a bludgeoning weapon - I don't get how this is supposed to impale anything. Yes, the blood-draining spikes are there, but still - a slight disjunction here.
Another issue is that the scepter's bonuses don't work as written - the bonuses are supposed to be profane and profane bonuses DON'T STACK. Yeah, it's nitpicky, but it detracts from the item's appeal nevertheless.
Due to the image/text disjunction and the bonus-issue, I'll settle for a final verdict of 3 stars since the issues are admittedly not significant, but still detract from the overall appeal.