A couple thoughts. Firstly, if we choose to disregard other in-game conversations and take this one purely at face value, nothing in there indicates the sacrifices to be limited to sapient life. He appears to be speaking of all life, and any kind of assumption otherwise would indeed be mistaken on part of the Scions. However, this is decidedly not what the original Ancients had planned. Conflating the two is disingenuous.
We are informed rather clearly their original plan was to cultivate life in the world, then sacrifice that life to bring back those sacrificed to Zodiark. The Ancients, and by extension Zodiark, were at no point shown capable of willfully creating sapient life -- or granting a new organism a soul, for that matter. Both of these things were dictated not by them but by the planet itself. Even the Meteia were produced only after an absurd amount of experimentation, with all involved acknowledging the one Meteion's full sapience as a fluke. If the Ancients were not able to create sapient life or grant souls, then that does rather limit their choices when it comes to intended sacrificial lambs.
Now on to the second point: It isn't merely that they couldn't form words. They were quite literally incapable of any form of communication, even that facilitated by the Echo (or whatever you want to call the remaining power the unsundered had). Communication was an impossibility. We're also given a far more detailed description of their forms than simply the labels Emet-Selch applied to their condition. The amount of body horror that took place was honestly a bit impressive.
These various structures and art pieces arose later on. You will note that even in FFXIV proper certain individuals yet retain trace memories of the world's original state, though most are limited only to recalling bits and pieces through dreams about the Final Days. The subconscious mind is a powerful tool, and many artists draw a great deal of inspiration from their dreams. These individuals no doubt had zero idea what they were creating, only than it was something that evoked strong emotion in themselves and some others.
As for starving to death? Seeking out food is a primal instinct. Even the least intelligent animals have never had any difficulty doing that. Why would the sundered be unable to feed themselves? Being reduced to a shambling mass of incoherent blubbering and body horror does not preclude the ability to meet one's basic needs.
I felt compelled to revisit this briefly. Curious that Emet-Selch's words should be taken at face value at certain times yet handily dismissed at others even when context should indicate he's being truthful at a given time. We're to immediately accept everything he says about the Ascians' grand plan and him willingly going along with it as fact, yet his descriptions of the state the sundered are in directly after the act are inherently suspect.



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