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The email address the account was created with — whoever controls it controls the account.
Game publishers treat the first email on an account as proof of ownership: recovery requests, ban appeals and password resets all go there. An account sold with its original email can be made safe by changing that email; one sold without it can be recovered by the original owner at any time. On listings the field "email change: yes" means the original email is included.
An account sold together with its original email, so the buyer can change everything and own it outright.
The original owner reclaiming a sold account through the publisher's support — the main risk of buying accounts.