How to get PoE Screams of the Desiccated?

Screams of the Desiccated Leather Belt

How to get it?

Drops from Saresh, of the Weeping Black

Saresh, of the Weeping Black is the new endgame boss introduced in Path of Exile 3.28: Mirage League. He is a powerful necromancer who leads the Afarud, a faction of outcasts that trap Djinns for their own purposes.

List of Random Shrine Buff

Description
You have Acceleration Shrine Buff while affected by no Flasks
You have Brutal Shrine Buff while affected by no Flasks
You have Greater Freezing Shrine Buff while affected by no Flasks (15—20)% increased Effect of Shrine Buffs on you
You have Diamond Shrine Buff while affected by no Flasks
You have Echoing Shrine Buff while affected by no Flasks
You have Gloom Shrine Buff while affected by no Flasks
You have Impenetrable Shrine Buff while affected by no Flasks
You have Massive Shrine Buff while affected by no Flasks
You have Replenishing Shrine Buff while affected by no Flasks
You have Resistance Shrine Buff while affected by no Flasks
You have Resonating Shrine Buff while affected by no Flasks
You have Greater Shocking Shrine Buff while affected by no Flasks (15—20)% increased Effect of Shrine Buffs on you
You have Greater Skeletal Shrine Buff while affected by no Flasks (15—20)% increased Effect of Shrine Buffs on you

Diamond Shrine

All hits are Critical Strikes

Resistance Shrine

+50% to all Elemental Resistances
+10% to all maximum Resistances

Item Analysis: Screams of the Desiccated(AI)

The Trade-off

In the current meta, losing five flask slots is a massive sacrifice. Flasks usually provide immunity to ailments, massive armor/evasion, and speed. However, getting Permanent Diamond and Resistance Shrines is a unique way to bridge that gap.

Key Strengths

Guaranteed Crit: The Diamond Shrine is the star here. Being able to ignore Critical Strike Chance on the passive tree and gear allows you to go "all-in" on Critical Strike Multiplier, making your damage ceiling incredibly high.
Max Resistance: +10% to all maximum Resistances is one of the rarest and most powerful stats in the game. It effectively reduces the elemental damage you take by roughly 40% (if moving from 75% to 85%).
Chaos Resistance: Having a high flat value (28%) on a unique belt is a great "quality of life" addition for high-tier mapping.

Potential Synergies

The Gull (Unique Helmet): While the belt provides the buffs, wearing The Gull would increase the effect of those shrines by 75% and increase their duration (though duration is irrelevant if you stay flaskless).
Ward Loops or Trappers: Builds that don't traditionally rely on "on-hit" flask gains or specific unique flasks (like Progenesis or Bottled Faith) would benefit most.
Hollow Palm Technique: Since this build already restricts your glove and weapon slots, the belt fits the "minimalist" theme while solving the crit and resistance issues inherent to those builds.