In Diablo II Resurrected, Gut Siphon is part of the Demon Crosbow category and one of many unique Crosbows in D2R. It is a relatively big item, taking 6 Blocks of space if you want to store it in the inventory or stash. Your character needs to reach at least the Required Level of 71 to carry this item. This Demon Crossbow has a Strength Requirement of 141 before it can be used. Another limitation is Dexterity, which should be 98 as the very minimum.
Please note that this Weapon is Two-Handed, so your character can not use an additional weapon or shield at the same time. You also need to be carrying Bolts in order to shoot this one.
This is already the elite version of this Crossbow, so it cannot be upgraded any further. The normal version is called Repeating Crossbow, while the exceptional version is Chu-Ko-Nu.
Note: If this item can have sockets, you might be able to get some runes and get one of the runewords as a result - if you place them in the correct order. Have a look at our builds to find out which items make the most sense for the character you're currently playing.
Below is a list of variations we can get for you from our network of trusted trade partners: