Buy a rare Sapphire with the right suffixes
Search trade for both suffixes (e.g. crit hit chance + crit damage bonus), exclude corrupted and fractured
Instill Potent Liquid Contempt
1× Potent Liquid Contempt—Desecrate with a Preserved Cranium
1× Preserved Cranium—Prefixes are full, so the desecrated mod is guaranteed to land as a suffix
Reveal at the Well of Souls with Abyssal Echoes active
1× Omen of Abyssal Echoes—The omen doubles your reveal options from three to six
Remove only the desecrated mod
1× Omen of Light—
1× Orb of Annulment—Omen of Light makes the annulment target only the desecrated modifier
Annul the +1 suffix prefix away
1× Omen of Sinistral Annulment—
1× Orb of Annulment—You keep all three suffixes - the +1 rule is no longer needed
Exalt to 5 mods
1× Exalted Orb—Suffixes are overflowing and locked, so the exalt must land on a prefix
Chaos-spam the prefixes
1× Chaos Orb—With three suffixes the game can only reroll prefixes; "no space for mods" rolls are normal
Instill Potent Liquid Ferocity
1× Potent Liquid Ferocity—Replaces a random prefix with increased effect of suffixes - 50/50 which one it takes
Divine to polish the rolls
1× Divine Orb—Optional - rerolls the numeric values once the mods are right
✓ suffix-stacked 5-mod sapphire