He does it on a natural stone, by hand. This one set took him 3 days and that's not counting making the walnut stain.
Looks like the one he had custom made for himself. I remember he had it during class. If Patrick ever comes up with a ranger style knife, y'all should call it ESEE PatRol
Don't diss ugly. This is what Horace Kephart himself said about his knife: "It was made by a country blacksmith, and is one of the homeliest things I ever saw; but it has outlived in my affections the score of other knives that I have used in competition with it, and has done more work than all of them put together."