If you're taking part in the Mothman Equinox event, you've probably seen other players sprinting after mysterious Cultist High Priests. The reason is simple: these guys drop the Cultist High Priest Pack, a lootbox-style consumable with a few very real reasons to chase it down.
Let's go step-by-step.

The Cultist High Priest Pack is a consumable lootbox tied to the Mothman Equinox event. You can only get it by killing Cultist High Priests, special enemies that spawn randomly only while the event is active.
It uses the same model as the cultist backpack, but unlike that backpack, you can't trade it, drop it, or sell it. Once you have one, you open it from your Aid tab in the Pip-Boy.
It feels basically like a themed goodie bag—sometimes amazing, sometimes… very “Fallout.”
You can only get them by:
High Priests:
Because of this, most players farm open regions like:
If you've done tunnel-rat treasure hunter runs before, this will feel familiar.
You can even skip some of the grind if you're mainly after useful gear, since U4GM is the best site to buy fallout 76 items, letting you focus your time on the parts of the game you actually enjoy. For most players, mixing light farming with a little outside help keeps the whole experience smooth and stress-free.
This is the real reason people farm them. The pack contains a mix of healing items, drinks, grenades, caps, and a few very rare collectibles.
Here's the clean breakdown:
You may also roll extra healing items or consumables:
Possibility of:
These are the big ones:
A stylish cultist outfit only available from this pack.
This is the rare prize. During the Mothman Equinox event, you can place it in the Cradle of the Pretenders near the Mothman statue. Doing so causes Mothman hatchling spawns during wave 3.
If you've ever wondered why everyone is shouting “ANYONE HAVE A PERFECT EGG??”—that's why.
Honestly—yes, but it depends on your goals.
The pack can be very hit-or-miss, but the exclusive items make it more exciting than the usual event drops.
Nope.
The pack keeps its full weight no matter what perks you use.
Locations with dense creature spawns usually work best.
Move fast, check roads and open fields, and listen for strange cultist voice lines.
More bodies on the map → more spawn rolls → more priests.
They show up randomly, so streaks of bad luck happen.
The Cultist High Priest Pack is a limited-time lootbox from the Mothman Equinox event. You get it by killing Cultist High Priests in the open world. Inside, you'll find healing items, drinks, grenades, caps, and—if you're lucky—exclusive rewards like the Cultist Elder Robe or the Perfect Mothman Egg.
It's random, but it's fun to chase, and the rare items make it one of the more exciting seasonal drops in Fallout 76.