Biggest lost would be the lost of +5 to torrent from using 3p Ultos set, to preserve the +2 to primal strike the dawnshard armor can be used while still have flat lightning. This open the way to use those blue shoulder piece that can convert elemental to physical, then the head piece can take Calla or Ravager head for another +1 all skill.
i don’t even remember if it’s been seriously requested before (probably have), and rejected?,
but if ultos got bleed support (without removing %phys), maybe it might actually(/finally?) make bleed primal strike a thing? - i don’t recall seeing that being posted or even people being excited about doodling it either
(since PS has native bleed and another bleed support item mod)