I'm not positive, but I would be willing to bet that they either got them from their parents (as disgusting as that thought can be...) or they were not given names at birth, but rather grew into a name. The last one works in a way similar to how we humans end up with nicknames that have nothing to do with our actual name. Say someone has red hair- they might end up with the nickname "Red." Say an Orc is particularly skilled in the area of guarding a position- he might end up with whatever the Black Speech translation for "Guard" is. Or something like that.
Just some thoughts.
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"And if you listen very hard/ The tune will come to you at last/ When all are one and one is all/ To be a rock and not to roll." --Led Zeppelin "Stairway to Heaven"
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