Vampires lords can be created from other greater vampires or gods, but is very rare, as most are considered unworthy of such dark gifts, or few reach the level of depravity required to survive the transition.

However, another Sire, or Vampire Lord, can make this transition done when a vampire bites an intelligent (Mind of -3 or higher) victim three times to the point of death. The last and final kiss they share their blood together in a final blood kiss. The transformation happens... the vampire lord is still under the strong influence of the maker though.