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In July 2019 Berahino began training with Belgian First Division side Zulte Waregem with his Stoke contract being in the process of being terminated. He also played a friendly for French club Nîmes Olympique but was not offered a contract. Stoke confirmed his exit on 7 August 2019 by "mutual agreement".

Two days after leaving Stoke, Berahino signed a two-year deal with Zulte Waregem, with the option of a third. On 10 August 2019, he made his debut in the Belgian First Division A, starting and scoring in a 2–0 win at K.R.C. Genk.

Berahino was named in the provisional 28-man squad for the 2019 Africa Cup of Nations in Egypt. Coach Olivier Niyungeko highlighted the good influence that he and another British-raised player, Gaël Bigirimana, brought to the squad. He captained the team and played all three games – two starts – as they were eliminated from Group B without a goal or point.

Berahino was arrested in the early hours of 18 February 2019 in central London and charged with drink driving. On 15 May he was found guilty of drinking and driving at Highbury Magistrates' Court and fined £75,000 and banned from driving for 30 months. The court heard that Berahino had been robbed of his jewellery before his arrest, but held it was not a necessity for him to be driving as his partner was at the wheel beforehand.

On 28 August 2018, Berahino scored the first goal in a 2–0 win over Huddersfield Town in the second round of the EFL Cup, his first goal since 27 February 2016, ending a drought of 913 days. He was praised by manager Gary Rowett after the game. Berahino scored his first league goal for Stoke on 22 September in a 3–2 home loss to Blackburn Rovers, though he missed a stoppage-time penalty in the same game. He scored the only goal of the game against Millwall on 22 December 2018. Following his arrest for drink-driving in February 2019 he was not selected by Nathan Jones again in the 2018–19 season, and was suspended without pay during legal proceedings, whilst the club sought legal advice regarding the contract of the striker. He was later informed his contract would be terminated.

In August 2018, after nearly three years of not receiving a call-up to the senior England team, Berahino was given clearance by FIFA to switch to the Burundi national team. He made his debut on 8 September in a 2019 Africa Cup of Nations qualification match against Gabon, scoring first in a 1–1 draw.

Berahino joined Stoke on 20 January 2017 for a fee of £12 million, potentially rising to £15 million, signing a five-and-a-half-year contract. Pulis wished him well but said that he needed "to get his act together". Speaking after joining Stoke, Berahino admitted he had 'lost his way' at West Brom. He made his debut for Stoke on 1 February 2017 in a 1–1 draw against Everton.

Manager Mark Hughes revealed that Berahino had served an eight-week suspension by the FA during his time at West Brom after failing an out-of-competition drugs test. He tested positive for MDMA. Speaking to the BBC's Football Focus in March 2017, Berahino claimed that he failed the drug test because someone had spiked his drink. After failing to score in his first nine matches for Stoke, Hughes backed Berahino to make a bigger impact in the 2017–18 season. Berahino also revealed that he had lost a stone in weight since joining the club. Berahino ended the 2016–17 season without scoring as Stoke finished in 13th position.

On 30 September 2017, in his 31st consecutive career game without a goal, Berahino won a penalty when fouled by Southampton's Virgil van Dijk and took it himself, but Fraser Forster saved it. He was supported by Hughes and fellow striker Peter Crouch after the game. On 27 February 2018, Berahino reached the landmark of two years without scoring a goal. Berahino continued to struggle in 2017–18 and with the team in deep relegation trouble in April, he was banished to the under-23s by manager Paul Lambert due to poor discipline.

Berahino made his first starts for West Bromwich Albion in the 2013–14 season, with highlights of that campaign including a hat-trick against Newport County, and the winning goal at Old Trafford against Manchester United. In his second full season, he recorded 20 goals in 45 matches across all competitions. Following that campaign, Berahino became involved in a lengthy transfer saga involving Tottenham Hotspur, straining his relationships with manager Tony Pulis and chairman Jeremy Peace. He was criticised for his conduct and fell out of favour, scoring only 7 goals in the 2015–16 season; he did not score a competitive goal from 27 February 2016 to 28 August 2018, a goal drought of 913 days. In January 2017, he joined Stoke City for a fee of £12 million, potentially rising to £15 million. Stoke were relegated from the Premier League at the end of the 2017–18 season and after a single season in the EFL Championship, Berahino was released by Stoke with three years left on his contract.

In January 2016, Berahino scored in a 2–2 draw against Bristol City in the third round of the FA Cup, but did not appear in the squad for the replay. Pulis attributed this to an infection, and re-stated that he wanted to keep the player at West Bromwich Albion by the end of the month's transfer window. He returned for the next round on 30 January, scoring both goals in a 2–2 home draw against former loan team Peterborough. The next day, Newcastle made a £21 million bid for the player. However, Berahino remained at West Bromwich Albion; on 26 February he apologised for having threatened to strike. On 16 April, Berahino had two penalty kicks saved by Heurelho Gomes in a 1–0 home loss to Watford.

Stoke City tabled an offer of £17 million, potentially rising to £20 million, for Berahino in July 2016. West Bromwich Albion rejected that bid and an equal one from Crystal Palace. On 23 August, he missed from the penalty spot as West Bromwich Albion lost on a shootout away to his former team Northampton, in the first round of the EFL Cup.

On 3 January 2015 in the FA Cup third round, Berahino scored four goals in a 7–0 win against Gateshead. He did not celebrate any of these goals, which brought questions to new manager Tony Pulis who explained "you should go and see him in the dressing room, he's more happy in there". Berahino later stated "I was just handling business and acting professionally and that's it". In February, West Bromwich Albion abandoned their contract talks with Berahino, and said they would consider offers above £20 million to sell him at the end of the season. The club had been put off by his conduct, as well as an unauthorised interview with Sky Sports in which he declared that he was playing in order to get a transfer to a "bigger" club.

In August 2015, West Bromwich Albion rejected a bid estimated at £15 million for Berahino to sign for Tottenham Hotspur, with the club valuing him at £25 million. After the bids, Pulis left Berahino out of his squad for the match against Chelsea on 23 August, replacing him with new record signing Salomón Rondón. When interviewed after the match, Pulis stated that Berahino was left out because previous events in the transfer market had been "disruptive". The following day, the club rejected Berahino's transfer request. After they rejected a fourth bid for the player on transfer deadline day, Berahino stated he was unhappy with the conduct of his club and wrote on Twitter that he would never play for the club again under chairman Jeremy Peace; he was fined for these comments. On 7 September, Pulis told the press that all parties had reconciled, and that Berahino was training again as normal.

Berahino was named in the England under-21 squad for 2015 UEFA European Under-21 Championship in the Czech Republic but withdrew through injury on 18 June, to be replaced by Benik Afobe.

In March 2015, Berahino was approached to represent his native Burundi at international level, a decision which could be taken as he has not played for England in a competitive senior international.

When interviewed by BBC Sport in February 2015, West Bromwich Albion manager Tony Pulis said that Berahino could be a "top class player" but that he needed "direction".

In April 2015, Berahino set up his own charity foundation to help WaterAid improve the lives of disadvantaged people in Britain and abroad. He stated "Having grown up in Burundi, I know only too well the devastating impact the lack of access to clean water or sanitation can have on families". His manager Pulis said that "His story is an inspiring one and this shows what I have been saying for several months now about his attitude and his growing maturity". In April 2017 Berahino denied a claim that his foundation failed to donate money "promised" to WaterAid.

Berahino scored both of West Brom's goals in their first match of the 2014–15 Premier League season, a draw against Sunderland on 16 August 2014. He scored twice more for the Baggies on 28 September, netting in either side of the half-time whistle as West Brom defeated Burnley 4–0. He equalled his league tally from the previous season with a penalty in a 2–1 loss to Liverpool on 4 October, having won the penalty after being fouled by Dejan Lovren. His good start to the season prompted the club to consider a new contract worth over £50,000 per week, but discussion of it was put on hold in late November due to his arrest on suspicion of drink driving.

On 6 November 2014, England manager Roy Hodgson – who promoted Berahino to the West Bromwich Albion first team in 2011 – named Berahino in his squad for the first time, ahead of a UEFA Euro 2016 qualifying match against Slovenia at Wembley Stadium on the 15th and a friendly against Scotland at Celtic Park three days afterwards. Berahino did not take part in either of the senior England matches for which he was called up.

In April 2014, Berahino apologised to West Bromwich Albion after videos of him inhaling nitrous oxide for recreational purposes were discovered by the media. He confessed that "This was very poor judgement on my part and not the right example to be setting. At the time, I wasn't fully aware of the serious health risks involved but now I know, I won't be doing it again". However, Berahino denied allegations that he drove 120 miles under the influence of the substance.

On 22 October 2014, Berahino was arrested on the M6 near Lymm, Cheshire, on suspicion of drink driving. He was charged with the offence in January 2015, and admitted to it before North Cheshire Magistrates in Runcorn, who gave him a 12-month driving ban and a fine of £3,400.

At the start of the 2013–14 season, manager Steve Clarke suggested that Berahino should become West Bromwich Albion's main centre forward, instead of the club signing a new one. Of their strikers from the previous season, Romelu Lukaku had been on a season-long loan and Peter Odemwingie had fallen out of favour at the club.

On 27 August 2013 he made his first start for West Brom in a League Cup tie against Newport County and scored a hat-trick in a 3–0 home win. He made his first league appearance for the Baggies when he came on as a substitute in a 2–0 home defeat against Swansea City on 1 September 2013, replacing Scott Sinclair for the last 15 minutes of the match. On 28 September, he replaced the injured Sinclair in the first half and scored his first Premier League goal, the winner in a 2–1 win against Manchester United at Old Trafford. Berahino extended his contract with West Bromwich Albion on 2 December, committing him to the club until June 2017.

On 11 February, Berahino scored his 10th goal of the Premier League season, and fifteenth overall, concluding a 2–0 home win over Swansea City. Three days later, he scored the team's final goal in a 4–0 defeat of West Ham United to put the Baggies into the quarter-finals of the FA Cup for the first time since 2008. On 18 May, Berahino scored twice in a 3–0 win over recently crowned league champions Chelsea. He finished the season with the club's Player's Player of the Year Award.

Berahino returned as a substitute for Albion in a 0–0 draw against Southampton on 12 September, receiving a mixed reception. He started a week later against local rivals Aston Villa, scoring the only goal of the match by deflecting James Morrison's shot into the net. From 31 October until the end of the calendar year, Berahino did not start a single match, with Pulis saying that "He's lucky to be on the bench, never mind starting. He's a smashing kid but lets himself down at times."

Regarding his allegiance in international football, Berahino said in 2013:

He was called up to the England under-21 squad for the first time for the match against Scotland on 13 August 2013. He scored on his England under-21 debut on 6 September, a European qualifier against Moldova in his side's 1–0 win, this match was also Gareth Southgate's first in charge. Four days later, Berahino equalised for a 1–1 draw against Finland in the next qualifier away in Tampere. On 15 October, Berahino scored twice in a 4–0 qualifying win against Lithuania, taking his tally for the team to 4 goals in 3 matches.

Berahino was yellow-carded after the first of his two goals in a 3–0 win against Finland under-21 in a European qualifier on 15 November 2013, for lifting his shirt to reveal a message to his late father, who died in the Burundian Civil War. He was voted the 2014 Under-21 Player of the Year by fans, finishing ahead of Harry Kane with 16% of the vote after a year in which he scored at a rate of a goal every other match, including three to help the team qualify for the European Championship. Berahino has the all-time third-highest goal tally for the England under-21 side with 10 goals in 13 appearances, behind Francis Jeffers and Alan Shearer.

In October 2013, Berahino told The Daily Telegraph that the strikers he aims to emulate are Samuel Eto'o, Didier Drogba and Jermain Defoe "because of their movement and the way they finish".

On 9 February 2012, Berahino went out on loan again, this time at a higher level than before, by joining League One side Brentford through to the end of the season. He made his debut five days later, replacing Marcus Bean at the end of a 2–1 loss at Colchester United. In the next match, at Griffin Park on the 20th, he came on for Gary Alexander in the 28th minute and scored in each half of a 4–0 win against Carlisle United. He also scored both goals in a 2–0 win over Exeter City on 6 March, after which the club's caretaker manager Alan Kernaghan praised him by saying: "Saido got the nod and he did well, but this was win [sic] built on a strong defensive performance as shown by another clean sheet." Due to arguments with new manager Uwe Rösler, the loan spell with Brentford ended early and he returned to West Bromwich Albion on 3 April, having scored 4 goals in 8 appearances.

Berahino made his debut for West Brom as a substitute against Yeovil Town in a League Cup second round tie on 28 August 2012, replacing Shane Long for the final six minutes of a 4–2 away win. He signed on loan for Championship club Peterborough United on 1 October, in a deal until 2 January 2013. The following day, he made his debut in a 2–0 win at Barnsley, replacing Emile Sinclair after 65 minutes. On 27 October, Berahino scored twice in a 3–0 win over Derby County. At Peterbrough United, manager Darren Ferguson said that Berahino would play more regularly. He played ten matches on his loan spell, which was cut short by a knee injury.

In 2012, Berahino was convicted of being drunk in charge of a vehicle.

On 20 October 2011, Berahino joined League Two side Northampton Town on a one-month loan deal. He made his professional debut for the Cobblers two days later in 2–1 defeat to Bradford City at Valley Parade, playing the full 90 minutes. Three days after that, he scored his first senior goal against Hereford United, albeit in a 3–1 home loss at Sixfields. His loan was extended twice, on 3 November and on 5 January 2012. Two days after his first extension, Berahino scored twice away to Gillingham, a goal in each half of a 4–3 loss. He ended his spell with 6 league goals in 14 appearances for Northampton, although they were struggling in League Two.

Berahino represented England at all youth levels from under-16 to under-21, and was part of their under-17 team which won the 2010 European Championship. He was called up for the first time to the senior team in November 2014 but did not play. He switched his international allegiance to Burundi in August 2018 and scored on his international debut in September, later captaining the side at the 2019 Africa Cup of Nations.

Berahino made appearances at various youth levels for England. He represented England under-17 as they won the 2010 European Championship in Liechtenstein, scoring the equaliser in the final group match as they came from behind to defeat Turkey 2–1. In 2012, he represented the under-19 team at the European Championship in Estonia, helping them reach the semi-finals before losing in extra time to Greece.

Berahino signed for the West Bromwich Albion Centre of Excellence in 2004 at under-12 level, joining from inner-city youth club Phoenix United. He progressed through the youth system of the Baggies and in summer 2011, he signed a professional contract with them.

Saido Berahino (born 4 August 1993) is a Burundian professional footballer, who plays as a striker for Belgian club Zulte Waregem and captains the Burundi national team.

Born in 1993 in Bujumbura, the then-capital of Burundi, Berahino played football as a child with a ball of plastic bags tied up with laces. His father was killed in 1997 during the Burundian Civil War. He travelled to England alone at the age of 10, fleeing the ongoing war to join his mother, brother and sisters who had already been granted asylum in Newtown, Birmingham. He could not locate his family on arrival, and was put in a care home. After his mother Liliane was traced, immigration officials had to administer a DNA test to confirm their relationship.