I am aware of live sacrifices, of course. They are so far from guaranteed, that I don't consider them worth mentioning.
I think it's very possible if you're on a race that doesn't get totally boned by shop prices, Al-Khwarizmi. I honestly have no idea how you'd do it on a Mist Elf, for instance, since they seem to get terrible shop prices from everyone (30 g / si, for crying out loud! from a high elf, dwarf and troll!). I barely managed to scrape together about 30k after going all the way through water temple and all of the above, including TotHK. Likewise, if you roll badly with the HMV shopkeep, dark elves, orcs & (I think) trolls can get shafted really easily. Of course, you can always sell-rob the racist shopkeepers, but I don't know why we'd want to force people into that kind of gameplay.
Moreover though, it kind of does require you to pick up all semi-valuable loot, which I personally find irritating, and rather akin to grinding.
P.S. I've crowned many times by saccing some combination of 30k+ g, Nonnak, Moon Sickle, Big Punch. In fact, my favorite way to get a quick crown when I was trying to do some Drake Barb speedruns [for a generous definition of speedrun ;)] was those 4 combined.