In Diablo II Resurrected, Gerke's Sanctuary is part of the Pavise category and one of many unique Shields 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 44 to carry this item. This Pavise has a Strength Requirement of 133 before it can be used.
The Pavise is the exceptional version of this Shield. It can be upgraded to the elite version by putting it into the Horadric Cube. After hitting the transmute button it will be called Aegis. The most basic (normal) version is called Tower Shield.
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: