Earth Genasi are humans who trace their lineage back to outsiders from the Plane of Earth, such as Dao, or even to earth deities and their servants. Most Faerûnian Earth Genasi originate in the North, as there are several portals to the Plane of Earth in the Spine of the World region. Somewhat more uncommon are the ones from eastern Faerûn, distantly connected to the Mulhorandi gods.

Stoic, stubborn and patient are the traits that define Earth Genasi. Like all elemental planetouched, earth genasi are proud of their nature and abilities, but their pride is usually a quiet, confident sort rather than a boastful one. They are slow to speak, slower to move, and even slower to act, though once in motion, almost impossible to stop; they are almost like Dwarves in many ways.

Earth Genasi are often shunned for their brutish traits, and their strength and girth means that they sometimes become bullies, attracting sycophants out of fear and respect for their power. However, Earth Genasi find themselves drawn towards the Lawful end of the spectrum, and more often embody values such as honor, stability and endless loyalty. They speak Terran, the gravelly rumble like language of the Earth Elementals, but there is no unified Earth Genasi society or history on the Prime.

Heavily muscular and stocky, Earth Genasi are obviously not human by appearance, but have mostly human features except for one or two distinguishing traits related to their elemental ancestory: craggy facial features, earth-like skin, mossy hair or very large hands and feets, for example.