The oxidation of an intermetallic phase under high-pressure/high-temperature conditions led to the synthesis of Ce4Ag3Ge4O(0.5) exhibiting [OCe2Ce(2/2] tetrahedral chains, in which the oxygen atoms statistically occupy the tetrahedral centres. Starting from a 1:1:1 CeAgGe precursor (NdPtSb type), a multianvil high-pressure/high-temperature experiment at 11.5 GPa and 1250-1300 °C revealed Ce4Ag3Ge4O(0.5), crystallizing in the space group Pnma with the following lattice parameters: a = 2087.3(4), b = 439.9(1), and c = 1113.8(2) pm. Magnetic measurements showed Curie-Weiss behavior above 100 K with an experimental magnetic moment of 2.42 µB per Ce atom, close to the value for the free Ce(3+) ion, clearly indicating trivalent cerium in Ce4Ag3Ge4O(0.5). Full potential GGA+U band structure calculations resulted in metallic properties and a magnetic ground state with one unpaired 4f-electron per cerium in agreement with the experiments.