Let $H_n$ be an $n×n$ Hadamard matrix and $R_n$ the $n×n$ reverse identity matrix. The matrix $X= \begin{pmatrix} H_n & R_nH_n \\ H_n & -R_nH_n \end{pmatrix}$ has entries of length $1$ and $$XX^T = 2nI_{2n} + ((nI_n - H_nR_n^*R_nH_n^*) \otimes R_2)$$ which is simply $2nI_{2n}$ so it is a Hadamard matrix. Permute the last $n$ columns with $R_n$ and you have it in the form you give. This gives half-skew-centrosymmetric Hadamard matrices of twice the size of a Hadamard matrix. (It also works for complex Hadamard matrices or even Hadamard matrices over *-rings) Another construction (edit): suppose we apply the Paley construction II to a finite field with $q=4k+1$ elements giving an $2n×2n$ Hadamard matrix $H= \begin{pmatrix} H_1 & H_2 \\ H_3 & H_4 \end{pmatrix} $ after permuting the odd columns and rows to the first $n$ rows/columns, the even as last $n$ AND put the first even row/column at the last position. Define $X := X_{i,j} = (i-j)^{0.5(q-1)}$ (in the finite field this is $\pm 1$ with zero diagonal and symmetric because $-1$ is a square). Note that $X_{i,j+k}=X_{j+k,i}=X_{n-i+k,n-j}$. Then for Paley construction II, using $j$ as all-ones vector $$H_2 = H_3^T = \begin{pmatrix} j & X-I \\ -1 & j^T \end{pmatrix}$$ $$H_1 = \begin{pmatrix} 1 & j^T \\ j & X+I \end{pmatrix}$$ $$H_4 = \begin{pmatrix} -X-I & j \\ j^T & -1 \end{pmatrix}$$The $H_i$ now have the properties $R_nH_2R_n = H_3$ and $-R_nH_1R_n = H_4$ due to our note above. Thus $H$ is a half-skew-centrosymmetric Hadamard matrix! $$ $$ $$ $$ (The stuff below is not what you asked, but I gave it the trouble of thinking it out so I would regret deleting this): Complex and real Hadamard matrices may also be constructed by the [Paley construction][1] I from finite fields of order $4k+3$. Instead of taking $I+X$ for $X$ the jacobsthal matrix with added $1$-row above and $-1$-column left (zero diagonal), one can replace $I$ by $R_2 H_2 \otimes I$ and also use $H_2 \otimes X$. This is a Hadamard matrix since $$(R_2 H_2 \otimes I + H_2 \otimes X) (R_2 H_2 \otimes I + H_2 \otimes X)^*$$ can be reduced to $$H_2H_2^* \otimes nI + R_2H_2H_2^* \otimes X + H_2H_2^*R_2^* \otimes X^*$$ and of course $H_2H_2^*=I_2$ and $R_2=R_2^*$ commutes with it so this becomes $$2nI_{2n} + R_2 \otimes (X+X^*)$$ and $X^* = -X$ giving the result. One also needs to check the entries have norm $1$, which I leave to the reader. [1]: https://en.m.wikipedia.org/wiki/Paley_construction