The original Kuo-toa were created by Blibdoolpoolp. She brought them into existence at the Toadoolp Twists, employing the same methods used by certain primordials during the Creation War. This involved capturing mortals and casting them into entropic pools of energy, which sometimes resulted in their transformation into new species. The first Kuo-toans emerged in the region of Blibdoolpoolp Bosom, the heart of the ancient Kuo-toa nation of Âkhi.