All I do is burn; Bronze, Gold, Horn, and Barbed Runics and put together very nice Sleeves, Gorget, and Gloves when I need them. I'm in factions on my mains right now, so that makes it a lot easier to equip; Fey Leggings, RBC/HotL, Orny, Crystalline Ring, Prime and Arms Talisman, Crimson Cincture, Spirit of the Totem, Folded Steel Reading Glasses, and Stormgrips.
It's not hard to establish yourself here, if you're able to put in little time to make the gold. Even with the crashing Powerscroll market, you can make good bank off the SoTs, Replicas, and 120s. Eventually you'll get one that still goes for 3-4mil + all the gold you're racking up at the end of spawns.
That's what majority of 420 that still play run. LOW used to run the same gear, TnT used to have people that would wear crazy runic like that, V wears it often, as so does GIL's faction guild. I have seen a few wearing cursed arties, minor arties, and Quiver of Infinities as of lately, with this non-faction war going on.
Although this was not in short, I hope it helped let you know that yes, some people wear great gear, that's obtainable and there's only 3 blessed items on this shard that people can't obtain really: EM made, "Blade of Brutality" -5 DCI, SCNP, 1/3 casting, 60 DI, and I think 25 SSI, and some luck [blessed], Item Blessed Inquis, and Item Blessed Orny. Not sure what happened to either of those, but that's the only IBD stuff I know of.