Well you could still use:
Moroes' trinket, Ilhoof's cloak, Maiden's neck, Shade's ring, Netherspite's shoulders, Nightbane's shield, King's Defender and Chess's boots or the random epic boots.
Cloak and neck aren't trully necessary since there is now the badge cloak and neck that are far better. The rest are all pretty solid upgrades that are worth getting.
Can you do Gruuls without them? Sure, but some of those would be big upgrades.