Originally Posted by
Rannie
The story Tales from the Shadows story Through his eyes established that the ancients were not creations. Emet himself was able to see souls and he had a deep connection to the underworld. It was also stated in that same story that things that were created via their creation magic would not contain a soul. It was only things that were made naturally that were gifted a soul via the earth.
Then there was the fact that while everyone was trying to repair the elevator in Kolusia, Emet stated that they had friends, family and loved ones back in Amarout. So yeah they procreated and most likely via sex due to them having souls.